Supplier Registration Form - Logan Construction

SERVICE - Please, state what subcontractor trade you propose to provide:

ORGANISATION - Name of Organisation (including any trading name):

Address:

Postcode:

Telephone:

Company Email:

Accounts / Remittance Email:

Estimators Email:

Bank Name:

Sort Code:

Account Number:

Bank Account Name:

Constructionline Reference Number:

ORGANISATION STRUCTURE

Public Limited Company

Yes

Private Ltd Company

Yes

Partnership

Yes

Sole Trader – Including NI Number:

Date of Organisation’s formation:

UTR No:

VAT Registration No.:

Company Registration No:

Date of Registration:

Registered Address (if different from that shown above):

Please state the names and responsibilities of the Executive Directors/Partners of the organisation:

FINANCIAL - Has your organisation been involved in any court action in relation to trade with third parties or with employees over the last 3 years?

Yes

Please provide details:

Please detail below your last three years audited accounts:

Year 1 Turnover:

Year 1 Net Profit:

Year 2 Turnover:

Year 2 Net Profit:

Year 3 Turnover:

Year 3 Net Profit:

Please provide details for the following:

Value of Projects Undertaken:

Geographical Areas Covered:

INSURANCES - Please attach a copy of your current Schedule of Insurance and To Whom It May Concern Letter covering Employers (min £5m cover) and Public Liability Insurance (min £5m cover). If there is a design element in the work you intend to provide, please also include the current Schedule of Insurance for Professional Indemnity.

I confirm Insurances contain the "Indemnity to Principals" clause

HEALTH & SAFETY - Please provide details of the person(s) responsible for day to day operational health and safety policy.

Name:

Title:

Tel: Base location:

Health & Safety Qualification:

Please detail below any accidents in the last three years:

Year 1

Year 1 - No. of notifiable Accidents to Employees:

Year 1 - No. of notifiable Accidents to the Public:

Comments

Year 2

Year 2 - No. of notifiable Accidents to Employees:

Year 2 - No. of notifiable Accidents to the Public:

Comments

Year 3

Year 3 - No. of notifiable Accidents to Employees:

Year 3 - No. of notifiable Accidents to the Public:

Comments

Please supply copies of completed Accident Report

Have you been served with any prohibition notices in the last three years?

Yes

Please provide a copy of your signed & dated Health & Safety Policy Statement

Yes

Please provide a copy of your company Training Matrix detailing expiry dates on all competencies held by your Operatives or scanned copies of qualifications for us to verify for example CSCS, CITB, SMSTS, SSSTS, NVQs, JIB Cards

Yes

Do you have an SSIP Accreditation (CHAS, SafeContractor etc)

Yes

COVID-19

COVID-19:

On 11th May 2020 the Government released full guidance on working safely during COVID-19. Please confirm you have read the specific guidance related to your industry.

Yes

Have you undertaken a COVID-19 risk assessment of your organisation?

Yes

Have you implemented and trained your employees on a procedure to follow if someone falls ill?

Yes

Please provide a copy of your signed & dated Covid-19 Policy Statement and COVID-19 risk assessment

Yes

Covid-19 Policy Statement and COVID-19 risk assessment Upload

Maximum upload size: 268.44MB

Modern Slavery

MODERN SLAVERY:

Requirements under Modern Slavery Act 2015

Are you a relevant commercial organisation as defined by section 54 (“Transparency in supply chains etc”) of the Modern Slavery Act 2015 (“the Act”)?

Yes

N/A

If you have answered ‘yes’, are you compliant with the annual reporting requirements contained within Section 54 of the Act 2015?

Yes

Please provide the relevant url

Please provide an explanation

QUALITY ASSURANCE

QUALITY ASSURANCE:

Please provide details of the person(s) responsible for day to day quality policy.

Name:

Title:

Tel: Base location:

Qualification:

Please provide a copy of your signed & dated Quality Policy Statement

Yes

Quality Policy Statement Upload

Maximum upload size: 268.44MB

Is your organisation ISO 9001 accredited?

Yes

TRAINEES AND APPRENTICES

TRAINEES AND APPRENTICES:

It is important to ensure that new trainees / apprentices are encouraged into the construction industry.

Do you have a recruitment policy?

Yes

What proportion of your staff are considered trainees / apprentices?

Would you be willing to recruit trainees and apprentices to work with you on Logan contracts?

Yes

EQUAL OPPORTUNITIES

EQUAL OPPORTUNITIES:

applies to both public and private procurement

As an Employer, do you meet the requirements of the positive equality duties in relation to the Equalities Act 2010?

Yes

Please provide a copy of your signed & dated Equal Opportunities Policy Statement

Yes

Equal Opportunities Policy Statement Upload

Maximum upload size: 268.44MB

In the last 3 years has any finding of unlawful discrimination been made against your organisation by any court of industrial or employment tribunal or equivalent body?

Yes

In the last 3 years has your organisation been the subject to a compliance action by the Equality and Human Rights Commission or an equivalent body on grounds of alleged unlawful discrimination?

Yes

REFERENCES - Please provide the names and addresses of two main contractors you have supplied goods and/or services to, similar to the ones you propose to supply to Logan Construction:

Reference 1

Organisation:

Address:

Postcode:

Contact Name:

Telephone:

Email:

Reference 2

Organisation:

Address:

Postcode:

Contact Name:

Telephone:

Email:

DECLARATION: I confirm the above contains accurate details of our Company:

Name:

Position:

Date:

Telephone:

Please return the completed form and requested attachments to the below mentioned email address claire.tracey@loganconstruction.co.uk

Signed & Dated within one year – Health & Safety Policy Statement

Signature:

Date:

Health & Safety Policy Statement

Maximum upload size: 2MB

SSIP Certificate

Maximum upload size: 2MB

Schedule of Insurance and To Whom It May Concern Letter

Maximum upload size: 2MB

Training Matrix or copies of qualifications for example CSCS, CITB, SMSTS, SSSTS, NVQs, JIB Cards

Maximum upload size: 10MB

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