WIXLIB

PRE-QUALIFICATION QUESTIONNAIRE (PQQ)forCONSTRUCTION RELATED PROCUREMENTBased on: PAS 91: 2013The Government sponsored sets of questions for use in pre-qualification for construction tendering.*London Borough of EnfieldV1.2MAJOR HOUSING WORKSVersion NrV 1.1V 1.2Date of Change02/10/201413/10/2014Brief Description of Change (s)Page 2 : Notation Value revised.Page 30 : Appendix 2 - Reference Factor (co-efficient) revised from 2 to3.Page 20 : Question S1-Q3 – status of question has changed from ‘Scored’to ‘Information Only’.Project Reference: DNWC-9E8RKE*Question numbers in white in shaded cells in the left hand column are PAS 91 question numbers.1

For this project, we have chosen to use Constructionline, the Government’s register of pre-qualified contractors andconsultants. If you are already a member of Constructionline you can provide us with your registration number andthen skip the core questions C1, C2, C3, C4, O2 andO3 and go straight to the project-specific supplementary questionsS1, S2 & S3 on PAGE 20. If you are NOT A MEMBER of Constructionline you must COMPLETE THE PQQ IN FULL.www.constructionline.co.ukFor Constructionline members only: Please ensure you log-in to your Constructionline profile and confirm theinformation they hold on your company is accurate and that you are registered for Building (General) - 45210000-2and have a notation value of 20,000,000 or above in place. You must do this by 10.10.14 to ensure any changes canbe made to your information prior to the closing date of this notice. Please contact Andy Preston on 07584703352or andrew.preston@capita.co.uk for assistance.Name of CompanyConstructionlineRegistration NumberConstructionline workRelevant recommendedcategory relevant to thiscontract (notation) valueproject:Core Question Module C1: Supplier identity, key roles and contact informationYou must provide all the information in this section. Scoring: INFORMATION ONLYQ RefInformation RequiredDescription of supporting information expected, which will be takeninto account in assessment.C1-Q1Name of legal entity or sole traderC1-Q2C1-Q3Trade name, if different fromaboveRegistered Office addressContact Details for enquiriesHead office or trading office ifdifferent from that of registeredofficeC1-Q4C1-Q5Registration number if registeredwith Companies House orequivalentCharity Registration numberTown:County:Title:Forename:Family name:Job title:E-mail:Tel number:Town:County:Companies House:Equivalent Body:Date of incorporationDate business was set upC1-Q6C1-Q7C1-Q8MrVAT registration number(if applicable)Name of immediate parentcompanyName of ultimate parent company2MrsPost Code:MsFax number:Post Code:Other

Name of company I currently ownC1-Q9Name of company I have acommon director/partner withType of organisationPLCLimited companyLLPOther partnershipSole traderOther (please specify):Does your company have anybranch officesDirectors and PartnersPlease give details of the following:Sole traders, partnerships, LLPs –all those with a financial interest.Ltd and Plc companies – directors, the company secretary and anyone who holds more than 20% of thepaid-up share of loan capital.Title:Forename:OwnerPartnerFamily name:DirectorPosition:Company SecretaryD.o.B:Private post code:Industry-related qualificationsMembership of erFamily name:DirectorPosition:Company SecretaryD.o.B:Private post code:Industry-related qualificationsMembership of erFamily name:DirectorPosition:Company SecretaryD.o.B:Private post code:Industry-related qualificationsMembership of professionalorganisations3

Core Question Module C2: Financial InformationYou must provide all the information in this section.Scoring: PASS/FAILPlease see Appendix 2: Financial Assessment Criteria for explanation of our calculations.Tick ifQ RefInformation requiredDescription of information expected, which will be takenprovidedinto account in assessment.C2-Q1Accounts: Please select the one organization description that most closely matches your organization andprovide information accordingly.C2-Q1-1Financial information for a start-up Turnover forecastbusiness that has not reported Opening balance sheet that includes:accounts to the Revenue or- Initial loan from directors/owners to start theCompanies House.business- Fixed assets, i.e. motor vehicles, specializedtools, computer programmes and computerequipment used to help the business function. Management accountsC2-Q1-2Accounts for an unincorporatedSole Traders or Partnershipsbusiness (sole traders and Profit and loss sheetpartnerships). Balance sheet Notes to the accountsORSole Trader Self employment section of the Self Assessment TaxReturn, that shows the- Accounts Year End date- Business income- Net profit/loss The current forms as per HMRC are Self AssessmentTax Return (SA100).If you file returns by paper, you will also needto complete:- SA103S if the turnover is below 73,000- SA103F if the turnover is above 73,000Partnership The Partnership Self Assessment Tax Return thatshows the- Accounts Year End date- Business income- Net profit/loss. The current forms as per HMRC are:- Self Assessment Tax Return (SA100)- Partnership Supplementary Pages (SA104)- Nominated Partnership Return (SA800)If you file your returns by paper, you will also need tocomplete:- SA103S if the turnover is below 73,000- SA103F if the turnover is above 73,0004

C2-Q1-3Accounts for a small company or limitedliability partnership with a turnover ofbelow the audit threshold (currently 6.5 million) that is not required toprepare audited accounts.C2-Q1-4Accounts for a medium to largeincorporated entity and all otherorganisations that are required toprepare audited accounts.A full and final set of accounts including: Profit and loss Balance sheet Notes to the accounts Audit report (if audited) or the Accountants’CertificateAbbreviated or draft accounts are not acceptable.A copy of the most recent accounts as submitted tothe Inland Revenue covering either the most recenttwo year period of trading or, if trading for less thantwo years, the period that is available.The accounts we require are sometimes described as‘full’ accounts, which distinguishes them from‘abbreviated’. The latter do not include the profitand loss page that details turnover and profit beforetax.Abbreviated accounts are not acceptable.Full accounts include: Director’s report Profit and loss Balance sheet Notes to the accounts.Preferred minimum contract value Preferred maximum contract value 5

C2-Q2Insurance statement andCertificatesC2-Q2-1Employers’ Liability insuranceC2-Q2-2Public liability insuranceC2-Q2-3Professional Indemnity Insurance(Where consultancy inputinvolved)All RisksOther specialist business relatedinsurancePlease give details of all insurances your business holds and send us acopy of each certificate and schedule. E.g. a warranty to cover productquality or debtors book cover. We do not need to know about car orbuilding insurance.InsurerPolicy numberLimit of indemnityExcessLimit for a single eventExpiry dateCert providedInsurerPolicy numberLimit of indemnityExcessLimit for a single eventExpiry dateCert providedInsurerPolicy numberLimit of indemnityExcessLimit for a single eventExpiry dateCert providedInsurerPolicy numberLimit of indemnityExcessLimit for a single eventExpiry dateCert providedInsurerPolicy numberLimit of indemnityExcessLimit for a single eventExpiry dateCert provided6

Core Question Module C3: Business and profession standingYou must answer these questions. Responses will be taken into account as part of the assessment processScoring: PASS/FAILQ RefCore questionYesHas your company or any of its Directors and Executive Officers been the subject of criminal orC3-Q1Nocivil court action (including for bankruptcy or insolvency) in respect of the business activitiescurrently engaged in, for which the outcome was a judgement against you or them?Please provide details. Responses will be taken into account in assessing the outcome of thisprequalification application where the circumstances of the judgement are pertinent toanticipated future projects or services. They will not necessarily constitute a reason for rejection.C3-Q2If your company or any of its Directors and/ or Executive Officers are the subject of ongoing orpending criminal or civil court action (including for bankruptcy or insolvency) in respect of thebusiness activities currently engaged in, then have all claims during the last three years beenproperly notified in accordance with the suppliers Product Liability Insurance policy requirementsand been accepted by insurers?Please provide details of action and confirmation, with references of the relevant notification andinsurer acceptances.C3-Q3Has your company or any of its Directors and Executive Officers been in receipt ofenforcement/remedial orders that are still unresolved (such as those in relation to: EnvironmentalAgency or Office of Rail Regulation enforcement), in the last three years?C3-QP1Mandatory reasons for exclusionDo any of the circumstances as set out in Part 4 Regulation 23(1) of the Public Contracts Regulations 2006 (SI 2006No: 5) as amended by the Public Contracts (Amendment) Regulations 2009 (SI 2009/ 2992), apply to you as theapplicant or to members of any applicant Group or any envisaged sub-contractor?If yes, please supply details.C3-QP1-1If your organisation, or any directors or partner or any other person who has powers ofrepresentation, decision or control been convicted of any of the following offences, pleaseprovide informationC3-QP1-1a)C3-QD1-1(a)Conspiracy: within the meaning of section 1 or section 1A of the Criminal Law Act 1977 or article 9or 9A of the Criminal Attempts and Conspiracy (Northern Ireland) Order 1983, or in Scotland theOffence of conspiracy, where that conspiracy relates to participation in a criminal organisation asdefined in Article 2 of Council Framework Decision 2008/841/JHA;7