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CONTRACTOR DATA SHEET (U.K.) - Structure Tone Inc.

CONTRACTOR DATA SHEET (U.K.) - Structure Tone Inc.

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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

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