CONTRACTOR DATA SHEET (U.K.) - Structure Tone Inc.
CONTRACTOR DATA SHEET (U.K.) - Structure Tone Inc.
CONTRACTOR DATA SHEET (U.K.) - Structure Tone Inc.
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
S/C Account No:<br />
<strong>CONTRACTOR</strong> <strong>DATA</strong> <strong>SHEET</strong> (U.K.)<br />
COMPANY NAME: ______________________________________________________________________________________<br />
ADDRESS:<br />
______________________________________________________________________________________<br />
______________________________________________________________________________________<br />
________________________________________<br />
POST CODE: _________________________<br />
TELEPHONE NO: ________________________________________ FACSIMILE NO: _________________________<br />
UTR REGISTRATION NO: ________________________________________<br />
VAT NO: __________________________<br />
* PLEASE ENCLOSE A COPY OF YOUR UTR REGISTRATION NUMBER<br />
KEY PERSONNEL & TURNOVER<br />
CHAIRMAN/CHIEF EXECUTIVE:<br />
MANAGING DIRECTOR:<br />
SALES DIRECTOR:<br />
CONTACT NAME:<br />
________________________________________________________________<br />
________________________________________________________________<br />
________________________________________________________________<br />
______________________________ POSITION:_______________________<br />
COMPANY TURNOVER: £____________________________ YEAR:_______________________<br />
CURRENT YEAR PROJECTED TURNOVER: £ (Minimum) £ (Maximum)<br />
DO YOU HAVE AN ULTIMATE PARENT COMPANY<br />
YES / NO<br />
ULTIMATE PARENT COMPANY<br />
____________________________YEAR ___________TURNOVER __________<br />
SERVICES<br />
PLEASE BRIEFLY DESCRIBE THE SERVICES PROVIDED:<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
CONT<strong>DATA</strong>UK
S/C Account No:<br />
<strong>CONTRACTOR</strong> <strong>DATA</strong> <strong>SHEET</strong> (U.K.)<br />
WORK FORCE<br />
TOTAL NO. OF STAFF: ___________________________________<br />
NO. OF OPERATIVES: ____________________<br />
ARE ALL OPERATIVES DIRECTLY EMPLOYED YES /NO IF NO, HOW MANY ARE------------<br />
WHICH SECTORS OF WORK WOULD BE SUB-CONTRACT __________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
OPERATING AREAS<br />
PLEASE INDICATE YOUR ESTABLISHED GEOGRAPHICAL OPERATING AREAS:<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
REGIONAL OFFICES<br />
DO YOU HAVE OTHER REGIONAL/BRANCH OFFICES<br />
YES / NO<br />
IF YES, PLEASE ATTACH A SEPARATE <strong>SHEET</strong> WITH DETAILS OF THEIR ADDRESS, PHONE & FAX NUMBERS &<br />
CONTACT NAMES.<br />
IF APPLICABLE, PLEASE INDICATE THE LOCATION OF:<br />
A) YOUR MANUFACTURING BASE(S): ________________________________________________________________<br />
B) YOUR SIGNIFICANT DEPOT(S):<br />
________________________________________________________________<br />
DESIGN (if applicable)<br />
IS DESIGN CARRIED OUT IN-HOUSE YES / NO CAD USED: YES / NO<br />
IF NOT AS ABOVE PLEASE STATE WHERE<br />
________________________________________________________________<br />
CONT<strong>DATA</strong>UK
S/C Account No:<br />
<strong>CONTRACTOR</strong> <strong>DATA</strong> <strong>SHEET</strong> (U.K.)<br />
QUALITY MANAGEMENT<br />
ARE YOU ISO:9001 REGISTERED<br />
YES / NO<br />
IF NOT, DO YOU TEND TO APPLY YES / NO IF YES, WHEN____________________________________<br />
PLEASE GIVE DETAILS OF ANY OTHER QUALITY SCHEME YOU EMPLOY:_______________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
*PLEASE ENCLOSE A COPY OF YOUR COMPANY QUALITY MANAGEMENT STATEMENT<br />
REPRESENTATIVE WORK & REFERENCES<br />
PLEASE PROVIDE DETAILS OF YOR LAST FOUR MAJOR CONTRACTS:<br />
MAIN<br />
<strong>CONTRACTOR</strong> CLIENT PROJECT<br />
SCOPE OF<br />
WORKS<br />
VALUE<br />
START<br />
DATE<br />
FINISH<br />
DATE<br />
PLEASE PROVIDE THE NAME, ADDRESS, CONTACT NAME AND TELELPHONE NUMBER FOR THE FOLLOWING:<br />
BANKERS:<br />
___________________________________________________________________________________<br />
___________________________________________________________________________________<br />
___________________________________________________________________________________<br />
ACCOUNTANTS: ___________________________________________________________________________________<br />
___________________________________________________________________________________<br />
___________________________________________________________________________________<br />
CAN WE APPROACH YOUR BANK FOR A REFERENCE<br />
YES / NO<br />
CAN WE APPROACH YOUR ACCOUNTANT FOR A COPY<br />
OF THE LAST AUDITED ANNUAL FINANCIAL STATEMENTS YES / NO<br />
CONT<strong>DATA</strong>UK
S/C Account No:<br />
<strong>CONTRACTOR</strong> <strong>DATA</strong> <strong>SHEET</strong> (U.K.)<br />
Please list 3 names for whom you have recently carried out work & would be prepared to give you a reference.<br />
Reference 1:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Reference 2:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Reference 3:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Of which Trade Associations are you a member:<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
INSURANCE<br />
Please see separate Questionnaire which needs to be completed by your Insurance Broker.<br />
Insurer:<br />
Address:<br />
_____________________________________________________________________________________________<br />
_____________________________________________________________________________________________<br />
Policy Type <strong>CONTRACTOR</strong>S ALL RISKS Policy No: ____________________________<br />
Value: ___________________________________________ Expiry Date: ____________________________<br />
Policy Type: EMPLOYERS LIABILITY______________ Policy No: ____________________________<br />
Value: ___________________________________________ Expiry Date: ____________________________<br />
Policy Type: PUBLIC/PRODUCTS LIABILITY___________ Policy No:<br />
____________________________<br />
Value: ___________________________________________ Expiry Date: ____________________________<br />
Policy Type PROFESSIONAL INDEMNITY____________ Policy No: ____________________________<br />
Value: ___________________________________________ Expiry Date: ____________________________<br />
CONT<strong>DATA</strong>UK
S/C Account No:<br />
<strong>CONTRACTOR</strong> <strong>DATA</strong> <strong>SHEET</strong> (U.K.)<br />
HEALTH AND SAFETY<br />
Please complete and return “Contractors Health and Safety Assessment Form”.<br />
If “Contractor’s Health and Safety Assessment Form” is not received, please inform <strong>Structure</strong><strong>Tone</strong> immediately.<br />
OTHER<br />
Please provide any other comments which you feel will be of value:<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
___________________________________________________________________________________________________________<br />
Please ensure the following are enclosed:<br />
* UTR Registration No:<br />
* Company Quality Management Statement<br />
* Cover Notes/Certificates of all Insurance Policies<br />
* Contractor Health and Safety Assessment Form (separate standard <strong>Structure</strong><strong>Tone</strong> questionnaire)<br />
I DECLARE THAT THE INFORMATION CONTAINED HEREIN IS A TRUE REPRESENTATION OF “THE COMPANIES”<br />
STATUS<br />
SIGNED: ___________________________________________ DATED __________________________________<br />
TITLE:<br />
___________________________________________________________________________________________<br />
CONT<strong>DATA</strong>UK