A. General Information

Questions A1 to A6, to the extent applicable, are to be completed by the lead Bidder, or if the Bidder is a sole organisation, that organisation

A1 – Name of the organisation that will act as lead Bidder for this JSC Project, and names of each of the Relevant Organisations:

Lead Organisation:

Relevant Organisations:

A2 – Name and contact details for principal contact:

Name:

Position:

Address:

E-mail:

Telephone:

Facsimile:

A3 – Registered Office and registered number and date of registration if a company:

Registered Office:

Registered Number:

Date of registration:

A4 – Specify the services that each Relevant Organisation will deliver:

Relevant Organisation 1.	Services to be delivered
2.
3.
4.
5.
6.

A5 – Provide an organisation chart and details of the relationship between the Relevant Organisations and, where relevant, whether this may change during the design, [build / construction / refurbishment / installation] and operational phases of the contract.

A6 – Provide details of the likely share holding of each Relevant Organisation in the service delivery vehicle for this JSC Project (where relevant).

Questions A7 to A12 are to be completed by each Relevant Organisation on separate sheets, if applicable

A7 – Name of Organisation [If registered with Constructionline, please also provide detailed of the Constructionline registration number]:

A8 – Provide details of registered office and registered number and date of registration of company. If not a company, provide status of organisation, including details of the trading address [Constructionline organisations need not provide this information].

Registered Office:

Registered Number:

Date of registration:

A9 – If the Relevant Organisation is a limited company, whether it is a subsidiary of another company. If so, provide details of the name of the holding or parent company [Constructionline organisations need not provide this information].

A10 – Provide details of any court proceedings and/or employment tribunal hearings in which the Relevant Organisation has been involved over the last three years.

A11 – Provide details of any such court proceedings and/or employment tribunal hearings that are currently outstanding against the Relevant Organisation.

A12 – Provide confirmation that there are no grounds applicable to the Relevant Organisation pursuant to which a Bidder may be rejected under the Public Contracts Regulations 2006, namely [Local Authority's legal advisors to provide input]:

The Local Authority may seek evidence at a later date, in confirmation of your answer.