Application Form. For Continued Inclusion on the Estates Department Approved List of Contractors

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1 Application Form For Continued Inclusion on the Estates Department Approved List of Contractors The completed application form should be returned in hard copy to: Estates Department University of Kent Canterbury Kent CT2 7NN A non-refundable cheque for 25 Sterling made payable to UNIKENT must be submitted with this questionnaire. This is to help mitigate the University s administrative costs in undertaking this procedure. Please note that all requested enclosures are a requirement of the application process. We will be unable to consider your application until all requested documentation is received. If possible, please send an accompanying CD/DVD with your application, containing all requested enclosures. Any queries on the content of this application form should be directed in writing to the above or by to: M.A.Ashmore@kent.ac.uk University of Kent, Estates Department 1 of 8

2 YOUR COMPANY S GENERAL DETAILS Company Name: Registered Address: Company Registration Number: Date of Incorporation (when business began): Former Trading Name (if any): VAT Number: Operational Office: Contact Name: Telephone Number: Fax Number: Web Site (main homepage) address: Number of Employees: UK Europe (total) Other Totals: Please give details of Membership of any Trade Associations: If you have selected a category (section 7) that requires evidence of certification, this evidence is required in order for the application to be approved e.g. NICEIC, ECA, Gas Safe Register. University of Kent, Estates Department 2 of 8

3 1. EQUAL OPPORTUNITIES POLICY 1.1 Is your policy on race relations set out: a) in instructions to those concerned with recruitment, selection, remuneration, training and promotion? b) in documents available to employees, recognised trade unions or other representative groups of employees? c) in recruitment advertisements or other literature? If your company employs 5 or more persons, evidence of a policy is required in order for the application to be approved In the last three years, has any finding of unlawful racial discrimination in the employment field been made against your organisation by the Employment Tribunal, the Employment Appeal Tribunal or any court, or in comparable proceedings in any other jurisdiction? (If yes, please give details) 1.3. In the last three years, has your organisation been the subject of formal investigation by the Commission for Racial Equality or comparable body on the grounds of alleged unlawful discrimination in the employment field? (If yes, please give details) 2. QUALITY APPRAISAL 2.1. Please confirm whether your Company has a documented Quality Assurance System? The University requires that all Contractors wishing to be considered for contracts in excess of 100, have a documented Quality Assurance System. If this applies to your organisation, evidence will be required in order for the application to be approved. University of Kent, Estates Department 3 of 8

4 2.2. Please confirm whether your Company has achieved ISO 9001/2/3 Certification or Registration? If yes, please enclose copies of current Certificates held 3. ECONOMIC AND FINANCIAL STANDING 3.1. Please provide a current Statement of your Company s Accounts, copies of the last 2 years Audited Accounts for your Company and a copy of your most recent Annual Report. This evidence is required for the application to be approved. (If you are a Subsidiary Company, please provide, in addition, the same documents but for your Parent Company) Please confirm that none of the following circumstances, as set out in Article 20 of EU Directive 93/36/EEC, apply to your Company: Being Bankrupt, or being Wound-Up, or in the Hands of Administrators, or being the subject of Proceedings for a Declaration of Bankruptcy, or Compulsory Winding-up. (If yes, please give details) 3.3. Please provide evidence of the level of relevant PUBLIC Liability Insurance held, at least 5 million for each and every claim, with numbers of claims to be unlimited. This evidence is required for the application to be approved. Please provide details of any claims made within the last 3 years against such insurance University of Kent, Estates Department 4 of 8

5 4. COMMERCIAL REFERENCES 4.1 Please provide details of 3 current or recent Customers to whom you have provided a similar service, including at least one public sector customer from whom we may seek a reference. We require a response from these referees in order for the application to be approved. Customer 1 Company Name: Contact Name: Position Held: Full Postal Address: Telephone Number: Customer 2 Company Name: Contact Name: Position Held: Full Postal Address: Telephone Number: Customer 3 Company Name: Contact Name: Position Held: Full Postal Address: Telephone Number: 5. ENVIRONMENTAL APPRAISAL 5.1. Please confirm whether your Company has a documented Environmental Policy Statement? The University requires that all Contractors wishing to be considered for contracts in excess of 100, have a documented Environmental Policy. If this applies to your organisation, evidence will be required in order for the application to be approved. University of Kent, Estates Department 5 of 8

6 5.2. Please confirm whether your Company s documented Environmental System is Certified or Accredited? If yes, please enclose copies of current Certificates held. Please provide Name of Certifying/Accrediting Body: 5.3. Please provide details of any convictions for offences under Environmental Legislation or Environmental Enforcement or Prohibition Notices served on your Company during the past three Calendar Years HEALTH & SAFETY APPRAISAL The Health and Safety appraisal is to be undertaken by a third party on behalf of the University of Kent. All contractors must register with the Contractors Health and Safety Assessment Scheme (CHAS) who will conduct the assessment. To apply for a CHAS assessment, please visit Once successful you will receive a confirmation letter of compliance. Please include a copy of this letter with your application as proof of compliance. This letter is required for the completion of your application Please ensure that all company employees who are likely to work on the University estate will be made aware of the Code of Safe Working Practices for Contractors document which should accompany this application. The return of the acceptance form for this document is required for the completion of your application. PLEASE DOWNLOAD AND COMPLETE THIS DOCUMENT. University of Kent, Estates Department 6 of 8

7 7. CATEGORIES The University of Kent Estates Department maintains a list of Approved Contractors under the following headings: Please indicate which categories of work you wish to be considered for: The maximum contract values established at your previous application will be reassessed, based upon the financial information supporting this application. Category AIR CONDITIONING / REFRIGERATION ASBESTOS REMOVAL / THERMAL INSULATION (Licenced contractors only - evidence of licence in name of applicant must be provided) BUILDING DATA / TELECOMMUNICATIONS (Only KRONE or CommScope (Systimax) Approved - evidence of certificate in name of applicant must be provided) DECORATING DRAINAGE SERVICES ELECTRICAL INSTALLATIONS (Only NICEIC or ECA Approved - evidence of certificate in name of applicant must be provided) FENCING FIRE ALARMS (Only NICEIC or ECA Approved - evidence of certificate in name of applicant must be provided) GROUNDWORKS LABORATORY REFURBISHMENT LIFTS MECHANICAL INSTALLATIONS (Only Gas Safe Register Approved - evidence of certificate in name of applicant must be provided) ROOFING SECURITY SHOP FITTING SUSPENDED CEILINGS WINDOWS / DOORS OTHER (please state) University of Kent, Estates Department 7 of 8

8 Signed: Name: Position in Company: For and on Behalf of: Date: PLEASE ENSURE YOU HAVE INCLUDED ALL REQUIRED ENCLOSURES Please note that once your application is approved by the Estates Department, your inclusion on the Approved List of Contractors will be for a minimum term of three years. University of Kent, Estates Department 8 of 8

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