ࡱ> } #tbjbj :DdjdjkhL L EEEEEYYY8]tY~E((!!!\N0!E#E#E#E#E#E#EGNJZ#EE~~~#EEE!!8EH"H"H"~PE!E!!EH"~!EH"H"R:<M=!0B8!; ENE0~E;bJ!RJ<M=M=JE> ~~H"~~~~~#E#E "(~~~~E~~~~J~~~~~~~~~L :   Qualification Questionnaire i)Please provide your name and contact details: including the registered address and company name of the company you are submitting this tender on behalf of. Provide the name and contact details of the person you would like the buyer to liaise with regarding this tender.  SECTION A - SUPPLIER ACCEPTABILITY QuestionSupplier Guidance Answer1Procurement Regulations (Wales) 2024 sets out grounds on which a bidding organisation must be deemed ineligible to tender for, or be awarded, a public contract. Within the past five years, has your organisation (or any member of your proposed consortium, if applicable), Directors or partner or any other person who has powers of representation, decision or control been convicted of any of the following offences? conspiracy; corruption; bribery (common law offence); bribery within the meaning of section 1, 2 or 6 of the Bribery Act 2010, or section 113 of the Representation of the People Act 1983; fraud, including - cheating the Revenue; conspiracy to defraud; fraud or theft; fraudulent trading; defrauding the Customs/HMRC; an offence in connection with taxation in the European Union; destroying, defacing or concealing of documents; fraud within the meaning of section 2, 3 or 4 of the Fraud Act 2006; or the possession of articles for use in frauds, or the making, adapting, supplying or offering to supply articles for use in; any offence listed- in section 41 of the Counter Terrorism Act 2008 in Schedule 2 to that Act where the court has determined that there is a terrorist connection; any offence under sections 44 to 46 of the Serious Crime Act 2007 which relates to an offence covered by paragraph (f) money laundering; an offence in connection with the proceeds of criminal conduct; an offence under section 4 of the Asylum and Immigration Act 2004; an offence under section 59A of the Sexual Offences Act 2003; an offence under section 71 of the Coroners and Justice Act 2009; an offence in connection with the proceeds of drug trafficking; or any other offence within the meaning of Article 57(1) of the Public Contracts Directive. `The buyer will not select you to tender if any of the mandatory grounds for exclusion apply, unless you have included an adequate explanation and/or mitigating factors in SA.GEN01b You should check the full text of Procurement Regulations (Wales) 2024 and take legal advice where appropriate. The buyer may make its own checks and will require you to provide a record of convictions by responding to question SA.GEN01b.  HYPERLINK "http://www.legislation.gov.uk/uksi/2015/102/contents/made" http://www.legislation.gov.uk/uksi/2015/102/contents/made If you are bidding as, or on behalf of, a consortium, you should check with all members of the consortium whether or not these grounds for exclusion apply. Select Yes if these grounds apply to any consortium member. NB: If any of the mandatory grounds for exclusion become applicable after data has been submitted for a contract, you must inform the buyer. Failure to do so may cause any contract awarded to be terminated. YES/NO2Within the past five years has it been established by a judicial or administrative decision having final and binding effect in accordance with the legal provisions of any part of the United Kingdom or the legal provisions of the country in which your organisation is established (if outside the UK), that your organisation is in breach of obligations related to the payment of tax or social security contributions? The buyer will use this information to determine whether the mandatory grounds for exclusion apply to your organisation. If such grounds apply, your organisation will be automatically excluded unless you can demonstrate evidence of your acceptability despite the existence of these grounds for exclusion. This would include adequate evidence of self-cleaning (see Regulation 57 (13)- (17)) The measures you have taken will also be evaluated taking into account the gravity and particular circumstances of the criminal offence or misconduct. If you are bidding as, or on behalf of, a consortium, you should check with all members of the consortium whether or not these grounds for exclusion apply. Select Yes if these grounds apply to any consortium member. YES/NO3Procurement Regulations (Wales) 2024 sets out discretionary grounds on which a bidding organisation may be deemed ineligible to tender for, or be awarded, a public contract. Should it become apparent to the buying organisation that any of the following situations has applied to your organisation within the past 3 years, or currently applies to your organisation, you may be excluded from the procurement. Select Yes if you wish to discuss any of these matters with the buying organisation. your organisation has violated obligations in the fields of environmental, social and labour law; your organisation is bankrupt or is the subject of insolvency or winding-up proceedings; your organisation is guilty of grave professional misconduct, which renders its integrity questionable; your organisation has entered into agreements with other economic operators aimed at distorting competition; your organisation has a conflict of interest with the buying organisation which cannot be remedied; the prior involvement of your organisation in the preparation of the procurement procedure has resulted in a distortion of competition which cannot be remedied; your organisation has shown significant or persistent deficiencies in the performance of a substantive requirement under a prior public contract which led to early termination of that prior contract or damages; your organisation has been guilty of serious misrepresentation in supplying information during a procurement exercise, or has withheld such information or is not able to submit the supporting documentation; or your organisation has attempted to unduly influence the decision-making process of the contracting authority, or to obtain confidential information; or has negligently provided misleading information that may have a material influence on decisions concerning exclusion, selection or award. The buyer may exclude you from participation in a procurement procedure if, having investigated the circumstances, any of these grounds for exclusion is found to apply. If you are bidding as, or on behalf of, a consortium, you should check with all members of the consortium whether or not these grounds for exclusion might apply. The buyer may include additional questions covering some of these grounds more specifically, for example, on conflicts of interest, on employment practices such as Blacklisting and False Self-Employment and on offences under Equalities, Environmental and Health and Safety legislation. See Regulation 56(2) for more details.YES/NO4Are you (if an individual) or any of your directors, partners, shareholders, owners, officers, employees, agents or associates (if an organisation) related or connected to any elected officials of the buyer or any officers of the buyer involved in the procurement?The buyer may not select a bidding organisation to tender without first having taken steps to avoid or mitigate any conflicts of interest. NOTE: In the event that you fail to declare a potential conflict of interest the buyer may cancel any contract awarded. If you are bidding as, or on behalf of, a consortium, you should check with all members of the consortium whether any conflicts of interests apply. Select Yes if this applies to any consortium member.YES/NO5Have any of your organisations tax returns submitted on or after 1 October 2012; Given rise to a criminal conviction for tax related offences which is unspent, or to a civil penalty for fraud or evasion; or Been found to be incorrect as a result of: HMRC successfully challenging your organisation under the General Anti-Abuse Rule (GAAR) or the Halifax abuse principle; or a tax authority in a jurisdiction in which the legal entity is established successfully challenging it under any tax rules or legislation that have an effect equivalent or similar to the GAAR or the Halifax abuse principle; or the failure of an avoidance scheme in which your organisation was involved and which was, or should have been, notified under the Disclosure of Tax Avoidance Scheme (DOTAS) or any equivalent or similar regime in a jurisdiction in which your organisation is established. The buyer may deem you ineligible to tender if any of these grounds for exclusion apply. If you are bidding as, or on behalf of, a consortium, you should check with all members of the consortium whether or not these grounds for exclusion apply. Select Yes if these grounds apply to any consortium member. YES/NO6If you or your organisation has used or run prohibited lists within the last 3 years, as defined in The Employment Relations Act 1999 (Blacklists) Regulations 2010, you must disclose this. The buyer may deem you ineligible to tender unless you can demonstrate adequate evidence of 'self-cleaning' (see Regulation 57 (13) - (17)). The measures you have taken will also be evaluated taking into account the gravity and particular circumstances of the misconduct. If you are bidding as, or on behalf of, a consortium, you should check with all members of the consortium whether or not these grounds for exclusion apply. Select "Yes" if these grounds apply to any consortium member. Have you, or has your organisation been found to have employed the practice of 'blacklisting' in the last three years? YES/NO7If you have answered Yes to any of the questions 1 to 6, please provide an explanation SECTION B - ECONOMIC / FINANCIAL STANDING 8Are you registered for VAT? If so, please provide registration numberThis information is for verification only but the buyer may exclude you if you provide incorrect information. If you are not registered for VAT this will not necessarily preclude you from bidding. If you are bidding as, or on behalf of, a consortium, you should either provide the lead member's details here, or state that, if selected, the body will register and comply with relevant VAT legislation.YES/NO9Is your organisation (please indicate the option that applies): a public limited company a limited company a limited liability partnership (LLP) other partnership a sole trader a consortium other (please specify). This information will be used for identification purposes only but the buyer may exclude you if you provide incorrect information. If you are bidding as, or on behalf of, a consortium, please select this option and describe your organisation as requested, 10Provide your company or LLP registration number (if applicable).This information will be used for identification purposes only but the buyer may exclude you if you provide incorrect information.11The authority requires you to have a valid Public Liability Insurance policy with an Indemnity Limit of 10,000,000 If you have Public Liability insurance provide the level of insurance or indemnity limit, Expiry date Name of insurer Policy number OR attach a copy of your Insurance Certificate If you do not have Public Liability of 10,000,000 but are willing to put this policy in place, please attach a valid quote from a provider, and confirm that you are willing to put the policy in place if you are successful.The buyer will only select a bidding organisation to tender if it has or will have an appropriate level of public liability insurance from an authorised provider with appropriate financial strength. See the HMRC website for details of regulation of insurance providers, and EU equivalents. If you are bidding on behalf of a consortium please include data from all relevant consortium members.12The authority requires you to have a valid Employers Liability Insurance policy with an Indemnity Limit of 5,000,000 If you have Employers Liability insurance provide the level of insurance or indemnity limit, Expiry date Name of insurer Policy number OR attach a copy of your Insurance Certificate If you do not have Employers Liability of 5,000,000 but are willing to put this policy in place, please attach a valid quote from a provider, and confirm that you are willing to put the policy in place if you are successful. The buyer will only select a bidding organisation to tender if it holds Employer's Liability insurance (as required by legislation) from a reputable provider with appropriate financial strength. If you are bidding on behalf of a consortium please include data from all consortium members.   SECTION C - CAPACITY & CAPABILITY 13What are the main business activities of your organisation or consortium? Please limit your answer to a brief summary. This answer will not be evaluated, but will be used by the buyer to understand what goods and services your organisation provides.14Has your organisation had a contract cancelled, or not renewed, for breach of contract or failure to meet requirements within the last 3 years? If you answered "yes" please provide details including name of customer, reasons for cancellation and any action taken to avoid this happening again.The buyer may use this information to determine whether you have a record of successful delivery of contracts. If you answer "yes" to this question and fail to provide convincing evidence that you have taken appropriate action to ensure the problems will not be repeated you may not be selected to tender. If you are bidding as, or on behalf of, a consortium, you should provide details for all consortium members. Select "Yes" if this applies to any consortium member.YES/NO15Have you had to pay any damages (whether liquidated (LADs) or unliquidated) for a failure to complete a contract on time or to requirements in the last three years? The buyer may use this information to determine whether you have a record of successful delivery of contracts. If you answer yes to this question and fail to provide convincing evidence that you have taken appropriate action to ensure the problems will not be repeated you may not be selected to tender. If you are bidding as, or on behalf of, a consortium, you should provide details for all consortium members Select Yes if this applies to any consortium member.YES/NO16Please confirm that you currently meet, or will meet if you are successful, the requirements of the Welsh language measure.  HYPERLINK "http://www.anglesey.gov.uk/searchresults?qsearch=1&qkeyword=welsh+language+policy" http://www.anglesey.gov.uk/searchresults?qsearch=1&qkeyword=welsh+language+policyThe buyer may only select you to tender if you confirm that you will comply with requirements to deliver services in the Welsh language. If you are successful the buyer may require you to provide evidence to support your answer.YES/NO SECTION D - EQUAL OPPORTUNITIES 17In the last three years, has any finding of unlawful discrimination been made against your organisation by an Employment Tribunal, an Employment Appeal Tribunal or any other court (or in comparable proceedings in any jurisdiction other than the UK) and/or has your organisation had a complaint upheld following an investigation by the Equality and Human Rights Commission or its predecessors (or a comparable body in any jurisdiction other than the UK), on grounds of alleged unlawful discrimination?The buyer may not select you to tender if you have been found to have unlawfully discriminated in the last three years, unless you have provided adequate evidence that you have taken appropriate action to stop it happening again.YES/NO18If you answered yes to 17 provide a summary of the nature of the investigation and an explanation of the outcome to date. If the investigation upheld the complaint against your organisation, please explain what action (if any) you have taken to prevent unlawful discrimination from reoccurring The buyer may not select you to tender if you have been found to have unlawfully discriminated in the last three years, unless you have provided adequate evidence that you have taken appropriate action to stop it happening again. SECTION E - SUSTAINABILITY 19Has your organisation been convicted of breaching environmental legislation, or had any notice served upon it, in the last three years by any environmental regulator or authority (including local authority)?The buyer may not select you to tender if you have been convicted or served notice under environmental legislation in the last three years unless you provide adequate evidence of action taken to stop similar incidences from happening again. If you are bidding on behalf of a consortium please include data from all consortium members. Select "Yes" if this applies to any consortium member.YES/NO20If your answer to 19 is yes please provide details of any of the conviction or notice and details of any remedial action or changes you have made as a result of conviction or notices served.The buyer may not select you to tender if you have been convicted or served notice under environmental legislation in the last three years unless you provide adequate evidence of action taken to stop similar incidences from happening again. If you are bidding on behalf of a consortium please include data from all consortium members. Select "Yes" if this applies to any consortium member.21If you use subcontractor(s), or are bidding on behalf of a consortium, do you have processes in place to check whether any of these organisations have been convicted or had a notice served upon them for infringement of environmental legislation?The buyer may not select you to tender if you do not have in place adequate vetting processes to check your subcontractors' and/or consortium members' record on compliance with environmental legislation. Select "Yes" if this applies to any consortium member. In some cases this may include the need for your suppliers to have an externally-accredited environmental management system in place.  SECTION F - HEALTH & SAFETY 22Has your company been served with a Prohibition or Improvement notice for any breaches of Health & Safety legislation in the last three years?The buyer may not select a bidding organisation to tender if it fails to meet this requirement. If you are bidding on behalf of a consortium please include data from all consortium members. Please ZIP documents together if necessary.YES/NO23If your answer to Q22 was "yes" provide details of the convictions or notice(s) served and give details of any remedial action or changes to procedures you have made as a result of the prosecution or notice(s) served.The buyer will not select you to tender if your company has been prosecuted or served notice under health and safety legislation unless there is clear evidence that decisive and comprehensive action has been taken to remedy the situation. The buyer may check the HSE database to confirm the accuracy of the information provided. Failure to provide accurate information may result in you not being selected to tender. If you are bidding on behalf of a consortium please include data from all consortium members.24Please confirm that your company has a Health and Safety Policy signed and dated within the last two years? Do you also have access to competent Health & Safety Advice? If so please provide details including their qualifications If you are successful you must be in a position to provide evidence if required, prior to contract award, and without delay. If you wish you may attach a copy of your Health and Safety Policy.All companies with more than five employees must have a Health and Safety Policy. The buyer may also require you to include a copy of your Health and Safety policy to ensure that you adequately cover your statutory obligations. If your company has fewer than five employees the buyer may also require you to have a Health and Safety Policy. A completed example, and template, can be obtained from the Health and Safety Executive website at: www.hse.gov.uk/risk/health-and-safety-policy-example.doc www.hse.gov.uk/risk/risk-assessment-and-policy-template.doc or by calling 01787 881165 The buyer may require you to confirm that you have reviewed your Health and Safety Policy within the past two years. Failure to provide the adequate information may result in you not being selected to tender. If you are bidding on behalf of a consortium please include data from all consortium members. Only select "Yes" if this applies to all consortium members. Please ZIP documents together if necessary.YES/NO25If you use subcontractor(s), or are bidding on behalf of a consortium, do you have processes in place to check whether any of the above circumstances apply to these other organisations?The buyer may not select you to tender if you do not have in place adequate vetting processes to check your subcontractors' record and compliance with Health and Safety legislation. If you are bidding on behalf of a consortium please include data from all consortium members.YES/NO26If your answer to Q25 is yes please provide evidence of the procedures you use to monitor subcontractors' or consortium members' Health and Safety arrangements. This should include any questionnaires used, and details of communication and monitoring methods.The buyer may not select you to tender if you do not have in place adequate vetting processes to check your subcontractors' record and compliance with Health and Safety legislation. If you are bidding on behalf of a consortium please include data from all consortium members.27You must have a Safeguarding Policy that complies with the Councils policy and provides a commensurable level of protection to be selected to tender. A copy of the Councils policy can be found on the Councils web page.The buyer may not select a bidding organisation to tender if it fails to meet this requirement. If you are bidding on behalf of a consortium please include data from all consortium members. Please ZIP documents together if necessary.28Please provide the accident statistics relating to your business for the past 3 years. Please report statistics per 100 employees.The buyer may not select you to tender if you do not supply the relevant information Please answer in box below Year 2022Year 2023Year - 2024No. of fatal accidents (A)No. of reportable injuries (RIDDOR 1995)(B)No. of employees (full-time equivalents)(C)Incident rate = (A+B) x 100/CNo. of RIDDOR injuries to the publicNo. of RIDDOR dangerous occurrencesNo. of RIDDOR ill-health reports Please confirm that you have signed and uploaded the Certificate of Non-Collusion that can be found in the additional attachments area. The buyer will not select you to tender if you do not sign and upload this document. We will accept an electronic signature on this form.  SECTION G STANDARD QUESTIONS 29Will all your drivers have a mobile telephone or other method of communication during the performance of these contracts? This question will be evaluated on a Pass (Yes) Fail (No) basis. YES/NO30The Council does NOT permit the use of mobile phones, two-way radios or other similar communications devices (including those operated hands free). It instructs contractors to turn off mobile phones. (Drivers may stop where & when safe to turn on mobiles). Will your drivers comply with this requirement? This question will be evaluated on a Pass (Yes) Fail (No) basis. YES/NO31Will you operate the Traffic Commissioner/VOSA recommended Nil Defect reporting system? This question will be evaluated on a Pass (Yes) Fail (No) basis. YES/NO32Are defect reports and maintenance records kept for possible inspection? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO33Will you be able to return a Risk Assessment for each route awarded within six weeks of the contract commencement? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO34Will you be able to provide a generic Risk Assessment of your operation before the contract commencement? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO35Do you have competent staff to carry out Risk Assessments and create Safe Systems of Work documents, can you ensure they are trained or can you hire in/have access to the necessary expertise? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO36Are all your vehicles licensed as PSVs and or hackney carriages/private hire vehicles? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO37Is all equipment within your vehicles safely secured? (e.g. fire extinguisher, spare wheels, booster seats if applicable, oxygen cylinders if applicable) This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO38Have you considered whether such equipment is necessary and removed that which is deemed unnecessary? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO39Are you aware of the Councils procedures for inclement / severe weather? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO40Are you aware of the condition of contract regarding sub-contracting? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO41Are you aware that you cannot alter, merge or combine any contracts without the express written consent of Isle of Anglesey County Council? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO42Do you understand that should you be unable to operate a contract for a temporary period that it is the contractor's and not the Council's responsibility to arrange suitable cover (that complies with the conditions of contract) and that if this occurs for more than two days you shall need to inform the Council in writing? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO43Are or will all your drivers be enhanced DBS checked at your own expense via the council (and where necessary Licensing Section) and will you comply with the requirements of the Independent Safeguarding Authority? It will be necessary to undertake a DBS check every three years. This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO44 Do you and your staff agree that Isle of Anglesey County Council may monitor your contracts at any time, without prior warning and that staff from another authority may monitor the other's contracts? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO45Do you have emergency procedures in place and are they written down? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO46Will you ensure drivers are trained to the Driver CPC standard (for vehicles with 9 passenger seats or more) and provide evidence of this as required? This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO47I confirm that I have read and understood and completed Licensing Particulars document in Appendix C. (Information Only) This question will be evaluated on a Pass (Yes) Fail (No) basis.YES/NO48Do you have a bank account that can accept payments through the BACS system? 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