The FM Service Provider(s) identified at A4 should complete this section separately. Where there is more than one Service Provider completing this section, the evaluation (as determined by the NHS Board) will weight the responses between FM provider(s) IM&T or equipment providers to reflect the unique requirements of the Project. Note this is the member organisations experience and must not detail experience that a members organisation staff has gained when been employed elsewhere.
C1 Details of Organisation
Registered Name: |
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Current Trading Name: |
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Previous Trading Names (if different): |
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Registered Address: |
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Telephone: |
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Fax: |
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E-mail: |
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Registered No: |
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Year of Registration: |
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Country of Registration: |
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C2 Type of Organisation
Private Limited Company |
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| Public Limited Company |
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Partnership |
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Other (please specify) |
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C3 Parent or Holding Companies
If the organisation named in C1 is a subsidiary of another organisation, please :
• Name the parent or holding company and indicate what interest the parent of holding company has in the company in C1
• If the parent company will be providing a guarantee (or equivalent e.g. performance bond, collateral warranty) to support the obligations of the named contractor in C1, provide a statement from the parent company stating that it is, in principle, prepared to support the contracting company, including the provision of performance guarantees;
• Provide the information required in C9 and C10.
C4 Indicate which services are to be provided by the Relevant Organisation, and which will be sub-contracted. Name any other known sub-contractors, and state the proposed method of selection for sub-contractors not yet identified. Where sub-contractors are either critical or material to the Project (in the view of the bidder or are highlighted as such in the NHS Board's Memorandum of Information, they should be identified as separate Relevant Organisations and the appropriate sections of this PQQ completed.
Service | Directly provided | Sub-contracted (give name if known) | Not provided | Third Party Income (indicate if profit or revenue sharing agreement) | |
Property & Building Maintenance |
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Grounds & Garden Maintenance |
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Medical Equipment (specify) |
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IM&T (specify) |
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Energy management |
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Energy & Utilities |
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Waste Disposal |
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Pest Control |
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Security |
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Sterile Supplies |
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Car Parking |
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Residential Accommodation |
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Crèche/Nursery |
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Stores |
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Reception |
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Non-emergency Patient Transport |
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Postal Services |
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Courier Services |
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Telecoms |
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Domestic Services |
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Catering |
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Laundry & Linen Services |
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Portering |
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Retail services (specify) |
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Other (specify) |
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C5 Healthcare PFI / PPP Experience
Provide details of previous experience of Healthcare PFI / PPP (including IM&T) in the last three years. Projects should be listed in order of decreasing annual contract value. For each service provided, indicate whether that service was directly provided (D), sub-contracted (S), and/or generated third party income (3). Projects which are particularly relevant to the scope of this scheme (as set out in the MoI) should be highlighted.
Project Name and Client Name Provide name of main Contractor if you were subcontracted | Annual Contract Value £m | Status of project | Dates of involvement | Services provided (using headings from list in C4 with indication of how provided (D/S/3)) |
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C6 Other PFI Experience
Provide details of previous experience of non-healthcare PFI / PPP (including IM&T) in the last three years. Projects should be listed in order of decreasing annual contract value. For each service provided, indicate whether that service was directly provided (D), sub-contracted (S), and/or generated third party income (3). Projects which are particularly relevant to the scope of this scheme (as set out in the MoI) should be highlighted.
Project Name and Client Name Provide name of main Contractor if you were subcontracted | Annual Contract Value £m | Status of project | Dates of involvement | Services provided (using headings from list in C4 with indication of how provided (D/S/3)) |
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C7 Healthcare Experience (non PFI)
Provide details of healthcare projects (including IM&T) undertaken in the last three years including the extent of the services or works for which the organisation was responsible and the dates of the organisation's involvement. For each service provided, indicate whether that service was directly provided (D), sub-contracted (S), and/or generated third party income (3). Projects which are particularly relevant to the scope of this scheme (as set out in the MoI) should be highlighted.
Project Name and Client Name Provide name of main Contractor if you were subcontracted | Annual Contract Value £m | Status of project | Dates of involvement | Services provided (using headings from list in C4 with indication of how provided (D/S/3)) |
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C8 Other Relevant Experience
Provide any evidence of non-health projects and non-PFI projects (including IM&T) that demonstrate the organisation's experience in the last three years relevant to its proposed role in the PFI project. For each service provided, indicate whether that service was directly provided (D), sub-contracted (S), and/or generated third party income (3). Projects which are particularly relevant to the scope of this scheme (as set out in the MoI) should be highlighted.
Project Name and Client Name Provide name of main Contractor if you were subcontracted | Annual Contract Value £m | Status of project | Dates of involvement | Services provided (using headings from list in C4 with indication of how provided (D/S/3)) |
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C9 Give details of any projects for contracts in excess of £1 million in which the organisation has been involved where there has been a failure to complete (by the scheduled completion date) or where there have been claims for damages, or where damages have been deducted or reserved within the last three years and where the amount of damages (claimed or ordered) is greater than £100,000. Include, for each project, reasons for the failure or claim.
C10 Provide a statement of any material non-employment related litigation (pending, threatened or determined) or other legal proceedings against the organisation within the last three years that may affect the Consortium's ability to deliver this project or any of the projects in C5 to C8. Exclude County Court or equivalent proceedings and debt collection below a threshold of £5,000.
C11 Provide details including contact name, address, telephone and fax number, and E-mail of three Client references from projects listed in C5 to C8.