Prequalification of Roading Contractors

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1 Prequalification of Roading Contractors Manual for Roading Contractor Prequalification for Authorised CCC Roading Work Please send prequalification applications to Chris Nordstrom Project Manager Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 Phone Date of Issue 23 November 2010 CONTENTS 1. Definitions 1 2. Introduction 2 3. Levels of Work and Description of Work Type 2 4. Work Level Compliance Requirements 3 5. Prequalification Applications 5 6. Application Notification and Duration 5 7. Specific Contract Works Specifications and Conditions 6 8. Tender Evaluation 6 Appendix A : Checklist Form 7 Appendix B : Application Form 8 Appendix C : Application Notification Form 9 Appendix D : Prequalification Notification Form 10 Appendix 1 : Experience and Resources Verification Letter (Template) 11 Appendix 2 : Traffic Management Verification Letter (Template) 12 Appendix 3 : Environmental Management Verification Letter (Template) 13 Appendix 4 : Project Management Verification Letter (Template) 14 Appendix 5 : Co-operation and Partnering Verification Letter (Template) 15 Appendix 6 : Quality Assurance Verification Letter (Template) 16 Appendix 7 : Health and Safety Verification Form 17 Appendix 8 : Insurance Confirmation Form DEFINITIONS Council means Christchurch City Council Prequalification means eligibility to tender for Council roading work which will be established by qualifying to an approved Council list of Prequalified Roading Contractors Manual means this Roading Contractor Prequalification document EMP means Environmental Management Plan CV means Curriculum Vitae QA means Quality Assurance QP means Quality Plan Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 1

2 2. INTRODUCTION 2.1 Purpose of Prequalification The purpose of the Council s prequalification system for Roading Contractors is to streamline the tendering system whereby work will be classified by its estimated value into four levels. Contractors will be permitted to tender for work in the value classification(s) for which they have prequalified and no higher. They may also tender for work in lower value levels. The targeted outcome of this initiative is Simplification and improved consistency for the Council s tendering system Reduction of costs for Contractors and the Council Enhancement of Contractor s performance It is to be noted that this Manual does not define the Council s methods for tender evaluation which are outlined in another Council document. 2.2 Eligibility To Prequalify The Council is not in the business of acting as a trial agent for start-up Contractors. Therefore Contractors wishing to apply for prequalification must be established and experienced Roading Contractors. The level for which a Contractor prequalifies depends on the extent and degree to which it satisfies the required attributes for any particular level as defined in this Manual. 2.3 List Of Prequalified Roading Contractors A list of Prequalified Roading Contractors will be published on the Council website and kept updated at regular intervals. It must be noted that prequalification does not automatically entitle a Contractor to tender for each and every roading work in its prequalified range, because certain work, will from time to time, be restricted to tendering shortlists and other appropriate tendering methodology. 2.4 Manual Availability This Manual is available on the Council s website at the following link approvedcontractors.aspx. Its currency is shown by the date of issue on the cover page. Hard copies are not available direct from the Council and these should be printed off the weblink. 3. LEVELS OF WORK AND DESCRIPTION OF WORK TYPE 3.1 Levels of Work The Council s Prequalification system classifies Contractors according to the Council s evaluation of their ability to meet certain levels in the attributes specified in this Manual. The Council has four levels of work level classification as defined below. Work Classification Level Estimated Value of Work ($m) Work Type A Over 1.5 Road Construction B 0.5 to 1.5 C Under 0.5 D Under 0.1 To qualify for a particular level, contractors must comply with all of the nine requirements scheduled in Table 1. To qualify for a particular level, contractors must comply with all of the eight requirements scheduled in Table Description of Work Type Road Construction Construction of kerbs and channels. Construction of drainage works (stormwater and sanitary sewer) and associated structures. Construction of waterway enhancement works. Construction of paths, cycleways and vehicle crossings. Construction of lawns and landscape areas. Installation of ducting/cabling. Construction of traffic restraints/islands. Construction of interlocking concrete block areas. Road shoulder reconstruction Carriageway reconstruction Road marking and signage Street furniture and pedestrian features. Small structures (fencing, retaining walls etc). Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 2

3 4. WORK LEVEL COMPLIANCE REQUIREMENTS Table 1 : Attribute Requirements for Work Level Qualification Attribute Work Classification Level Prequalification Attribute Requirement Prequalification Input Requirement 1 Experience and Resources All levels A to D Recently completed projects of this size. Confirming letter from supervising authority for 2 recently completed projects* Refer Appendix 1 for template letter, List of Resources* 2 Traffic Management All levels A to D Capable of meeting Level 1 of Code of Practice for Temporary Traffic Management (COPTTM). Current Level 1 Basic Traffic Controller (TC) certificates for site management staff. Refer Appendix 2 for template letter. 3 Environmental Management Levels A and B Complex environmental capability. Confirming letter from supervising authority for 2 recently completed projects including certified EMP. Refer Appendix 3 for template letter. Levels C and D Simple environmental capability. Confirming letter from supervising authority for 2 recently completed projects. Refer Appendix 3 for template letter. 4 Project Management Level A Technically complex requiring specialist appreciation and understanding. project management experience. Two page CV s of all supervisory staff (including one Engineer). All must have minimum 5 years. Refer Appendix 4 for template letter, Organisational Structure* Level B Technically complex requiring specialist appreciation and understanding. Two page CV s of all supervisory staff. All must have minimum 3 years project management experience. Refer Appendix 4 for template letter. Level C Some work variation requiring technical appreciation and understanding. Details of key supervisory staff project management experience. Refer Appendix 4 for template letter, Organisational Structure* Level D Work nature routine and repetitive, not technically demanding. Details of key supervisory staff project management experience. Refer Appendix 4 for template letter, Organisational Structure* Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 3

4 Attribute Work Classification Level Prequalification Attribute Requirement Prequalification Input Requirement 5 Co-operation and Partnering Level A Only very limited surveillance required, adheres to the principles of partnering and co-operates with all parties.. Confirming letter from supervising authority for recently completed project. Refer Appendix 5 for template letter. Level B Only limited surveillance required, adheres to the principles of partnering and cooperates with all parties.. Confirming letter from supervising authority for recently completed project. Refer Appendix 5 for template letter. Level C A small amount of surveillance is required and co-operates with all parties. Confirming letter from supervising authority for recently completed project. Refer Appendix 5 for template letter. Level D A large amount of surveillance required and co-operates with all parties. Confirming letter from supervising authority for recently completed project. Refer Appendix 5 for template letter 6 Quality Assurance Level A Use of quality management system certified to ISO 9001 or 9002 Standard by a JAS-ANZ accredited industry provider. A Quality Plan complying with TNZ : TQS 1 would qualify. Current certification evidence and example of QP for recently completed project. Refer Appendix 6 for template letter. Levels B, C and D Use of quality management system details of which are to be provided for approval consideration. A Quality Plan complying with TNZ : TQS 2 would qualify. Example of QP for recently completed project. Refer Appendix 6 for template letter 7 Health and Safety Level A Fully complying H and S Plan in place as verified by completion of Appendix 7 plus current Plan approval by an approved H and S industry provider. Completed Appendix 7. Levels B,C,D For level A, current secondary or tertiary ACC accreditation is also required with supporting evidence of a current ACC audit check. Fully complying Health & Safety Plan in place as verified by completion of Appendix 7 plus current Plan approval by an approved Health & Safety industry provider Completed Appendix 7 Evidence of a current ACC audit check. 8 Insurance All Levels A to D Either hold or have the ability to obtain the following insurances: Completed Appendix 7. Contract Works Public Liability Contractor s Construction Machinery Contractors Motor Vehicle Contractor s Professional Indemnity * Note: Recently Completed Projects Projects completed within the last three years. Organisational Structure Provide a chart detailing all management and key personnel List of Resources List all relevant plant (with year of manufacture) total staff employed, and details and certificates for approved drain layers and qualified (LIANZ or other suitable qualification) Landscape staff Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 4

5 5. PREQUALIFICATION APPLICATIONS 5.1 How To Apply Contractors wishing to apply for Prequalification shall forward their applications on Appendix B in an envelope marked Application for Prequalified Roading Contractor with an accompanying $ nonrefundable application fee addressed/delivered to Chris Nordstrom Project Manager Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 Note that applications must be accompanied by ALL of the required supporting material listed in this document and verified on a submitted checklist, ie Appendix A. 5.2 Checklist Of Input Information Required Information/documentation/fees that must be submitted with Prequalification applications is as follows Appendix A : Checklist Form Appendix B : Application Form Appendix 1 : Experience and Resources Verification Letter (Template) Appendix 2 : Traffic Management Verification Letter (Template) Appendix 3 : Environmental Management Verification Letter (Template) Appendix 4 : Project Management Verification Letter (Template) Appendix 5 : Co-operation and Partnering Verification Letter (Template) Appendix 6 : Quality Assurance Verification Letter (Template) Appendix 7 : Health and Safety Verification Form Appendix 8 : Insurance Verification Form 5.3 Evaluation Of Applications Applications for Prequalification will be evaluated by a Prequalification Evaluation Team generally (but not always) consisting of three senior staff (predominantly from the Capital Delivery Unit) of the Council all with appropriate relevant specialist knowledge. The Council reserves the right to make enquiries regarding the applicant and to consider relevant information obtained from any source in the evaluation of the application. The Contractor will cooperate with any evaluation and will arrange access to any third party information relied upon by the Contractor. The Council will receive and hold the information supplied by the Contractor in confidence and shall not disclose this to a third party unless required by law. 5.4 Decision The Council reserves the right, at its sole discretion, to accept none or any of the applications for prequalification. The Council further reserves the right, at its sole discretion, to qualify a Contractor to a certain level despite the fact that Contractor has not met the required levels in the attributes specified for that particular level. The decision of the Prequalification Evaluation Team concerning all applications will be final. Recourse for aggrieved applicants will be to resubmit their application once they have implemented the required improvements notified to them by the Council, see Notification to Applicant section below. 5.5 Processing of Applications The Council will make best efforts to process applications and respond within two weeks of receiving the application. This is not a guarantee however that the Council will be able to meet this timeframe in all cases. 6. APPLICANT NOTIFICATION AND DURATION 6.1 Notification To Applicant Applicants will receive notification that their application has been received by an Application Notification Form (ie letter), refer Appendix C. Once the application has been evaluated by the Council, applicants will be notified of the outcome by a Prequalification Notification Form (ie letter), refer Appendix D. If successful the applicant will be added to the approved Prequalified Roading Contractor list published on the Council s website. If unsuccessful the applicant will be given the reasons why, so it can make the necessary improvements and reapply if it so desires. 6.2 List Of Approved Prequalified Roading Contractors This list will be published on the Council s website and updated on a regular basis. 6.3 Duration of Prequalification Prequalification certification shall automatically expire after three years of Council approval to the web list. At that time Contractors will be required to reapply for recertification. It will be the Contractors entire responsibility to reapply at least three months before the expiry date. 6.4 Duty to Notify Contractors with prequalification certification must, during the period of certification, notify the Council of any material event which, in its reasonable opinion, may affect their prequalification certification status. Such material event may include, but not be limited to, a key success or failure, or a change in key personnel. The Council will hold this information in confidence and will only use it for the purpose of prequalification evaluation. Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 5

6 6.5 Enquiries The Council reserves the right, at any time and at its sole discretion, to make enquiries regarding a Contractor with prequalification certification and to consider relevant information obtained from any source in relation to that Contractor s prequalification status. 6.6 Reclassification The Council reserves the right, at any time and at its sole discretion, to reclassify Contractors with prequalification certification. If there have been changes or the Contractor wishes to register at a different Work Classification Level they will need to complete and submit a full new application. This can be done any time. 6.7 Decertification of a Contractor From Council Prequalification List The Council reserves the right, at any time and at its sole discretion, to give warning, downgrade, suspend or decertify a Contractor from its Prequalification list. The Council may elect to give warning, downgrade, suspend or decertify a Contractor for a reason such as, but not limited to, sub-standard performance by that Contractor on Council work performed since Councils Contractor s Performance Evaluation (CPE) reports. 7. SPECIFIC CONTRACT WORKS SPECIFICATIONS AND CONDITIONS 7.1 Tailored Contracts In some instances it will be impractical to use prequalification for tendering and the Council may choose open tendering with full attributes being required. 7.2 No Legal Obligation No legal or other obligation shall arise between either an applicant or a Contractor with prequalification certification and the Council in relation to the conduct or outcome of the prequalification process. The Council does not undertake to enter into any contractual relationship with, or guarantee any work to, either an applicant or a Contractor with prequalification certification. 8. TENDER EVALUATION 8.1 Tender Evaluation Method Three tender evaluation methods will be used with prequalification: Expedited procedures (Negotiation or Selected Invitation to Tender). Price Only (with project specific attribute information) PQM Simple Contracts that previously would have tendered using expedited procedures. In most instances contractors chosen to undertake work will be chosen from the list of prequalified contractors. Contracts that previously would have tendered using lowest price conforming method now use price only with project specific attribute information as required in the Tender Documents. Generally the required attribute information will be: Project specific construction methodology Project specific key personnel Preliminary construction programme Contracts that previously would have tendered using price quality method simple (PQM simple) conforming method now use PQM simple with 3-6 attributes (attributes being Relevant Experience, Track Record, Relevant Skills, Resources, Methodology, Financial Viabilty. In some instances it will be impractical to use prequalification for tendering. For example where the work is of a highly specialised nature, resulting in insufficient prequalified contractors being able to undertake the work resulting in lack of competition. In this situation the project manager may choose open tendering with non price attributes being required. The tender evaluation methodology used for each tender will be that specified by the Tender Documents. 8.2 Pre-letting Meeting In the event that a Project Manager considers that a tenderer does not have the required skills to complete the project, a pre-letting meeting will be held to address any outstanding concerns. If these concerns cannot be suitably resolved, that tenderer will be rejected and tender evaluation continued witht eh next highest ranked tenderer. Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 6

7 APPENDIX A CHECKLIST FORM To be submitted with Prequalification application. FROM: (Name of Contractor) Item Tick Space $ non-refundable application fee Appendix B : Application Form Appendix 1 : Experience and Resources Letters (2) Appendix 2 : Traffic Management Letter Appendix 3 : Environmental Management Letters (2 Appendix 4 : Project Management Letter Appendix 5 : Co-operation and Partnering Letter Appendix 6 : Quality Assurance Letter Appendix 7 : Health and Safety Verification Form Appendix 8 : Insurance Verification Form I the undersigned confirm that the above information has been provided with this Prequalification application. I confirm that I am the authorised signatory for this matter. Authorised Signatory Name and Company Position Date Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 7

8 APPENDIX B APPLICATION FORM To be submitted with Prequalification application Name of Applicant: Company: Address: Phone: Fax: Contact Person: Company: Address: Phone: Fax: Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 8

9 APPENDIX C APPLICATION NOTIFICATION FORM (Sample letter only) TO: (Name of Contractor) ADDRESS Dear Sir/Madam Your Application For Roading Contractor Prequalification Your application for the above has been received. You will be notified of the result of the Council s evaluation in due course. Yours faithfully Signed Position in Council Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 9

10 APPENDIX D PREQUALIFICATION NOTIFICATION FORM (Sample letter only) TO: (Name of Contractor) ADDRESS Dear Sir/Madam Your Application For Roading Contractor Prequalification Your application has been processed by the Council s Roading Contractor Prequalification Team. Either : Your Company has been evaluated as Prequalifying for the following Work Classification Level(s). Accordingly your Company name will be added to the Council s Roading Contractor Prequalification list published on the Council website. Note that this Prequalification is valid for a three year period from the date of this letter unless you are notified of decertification prior to that date. To recertify for Prequalification it is necessary to reapply at least three months prior to the expiry date of (insert date of expiry) Or : Your Company has failed to Prequalify for any Work Classification Levels for the following reasons. Attribute 1 Experience and Resources 2 Traffic management 3 Environmental Management 4 Project Management 5 Co-operation and Partnering 6 Quality Assurance 7 Health and Safety 8 Insurance Deficiency You can reapply for prequalification when your company has corrected the evaluated deficiencies detailed above. A new fully documented application and non-refundable fee of $ must be submitted for any reapplication. Yours faithfully Signed Position in Council Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 10

11 APPENDIX 1 EXPERIENCE AND RESOURCES VERIFICATION LETTER (Template letter only) Resource Manager Capital Delivery Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 (Date) EXPERIENCE AND RESOURCES VERIFICATION In relation to the CCC Roading Contractor Prequalification process I have been asked to confirm that in my opinion -(name of Contractor) has satisfactorily completed the (name of projects) to the value of (value). In my view (name of Contractor) has the Experience and Resources to carry out projects in the Work Classification Level below (strike out all except one level) Work Classification Level Estimated Value of Work ($m) Work Type A Over 1.5 Road Construction B 0.5 to 1.5 C Under 0.5 D Under 0.1 I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. Yours faithfully Signed Position in Supervising Authority Address Contact Number Address Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 11

12 APPENDIX 2 TRAFFIC MANAGEMENT VERIFICATION LETTER (Template letter only) Resource Manager Capital Delivery Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 (Date) TRAFFIC MANAGEMENT VERIFICATION In relation to the CCC Roading Contractor Prequalification process I have been asked to confirm that in my opinion (name of Contractor) has satisfactorily completed the (name of projects) to the value of (value). In my view (name of Contractor) is capable of meeting at least Level 1 of Code of Practice for Temporary Traffic Management (COPTTM). I understand that current Level 1 Basic Traffic Controller (TC) certificates for site management staff will be supplied to the Council as part of this application for Roading Contractor Preregistration thus complying with Levels A to D of the Traffic Management requirements. I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. Yours faithfully Signed Position in Supervising Authority Address Contact Number Address Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 12

13 APPENDIX 3 ENVIRONMENTAL MANAGEMENT VERIFICATION LETTER (Template letter only) Resource Manager Capital Delivery Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 (Date) ENVIRONMENTAL MANAGEMENT VERIFICATION In relation to the CCC Roading Contractor Prequalification process I have been asked to confirm that in my opinion (name of Contractor) has satisfactorily completed the (name of projects) to the value of (value). In my view (name of Contractor) is capable of providing Complex (Level A and B) environmental management Simple (Level C and D) environmental management (strike out the option that does not apply) An adequate Contractor s Environmental Management Plan was provided for these projects and compliance with all conditions was achieved (strike out if not appropriate). I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. Yours faithfully Signed Position in Supervising Authority Address Contact Number Address Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 13

14 APPENDIX 4 PROJECT MANAGEMENT VERIFICATION LETTER (Template letter only) Resource Manager Capital Delivery Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 (Date) PROJECT MANAGEMENT VERIFICATION In relation to the CCC Roading Contractor Prequalification process I have been asked to confirm that in my opinion (name of Contractor) has satisfactorily completed the (name of projects) to the value of (value). In my view (name of Contractor) is capable of providing Technically complex (to Level A) project management Technically complex (to Level B) project management Level C project management Level D project management (strike out the options that do not apply) I understand that staff CV s will be supplied to the Council as part of this application for Roading Contractor Prequalification. I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. Yours faithfully Signed Position in Supervising Authority Address Contact Number Address Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 14

15 APPENDIX 5 CO-OPERATION AND PARTNERING VERIFICATION LETTER (Template letter only) Resource Manager Capital Delivery Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 (Date) CO-OPERATION AND PARTNERING VERIFICATION In relation to the CCC Roading Contractor Prequalification process I have been asked to confirm that in my opinion (name of Contractor) has satisfactorily completed the (name of projects) to the value of (value). In my view (name of Contractor) has the capability for Co-operation and Pro-active Partnering in that they are capable of establishing and practicing under a full Partnering Charter and cooperating with all parties (Level A). Co-operation and Pro-active Partnering in that they require only very limited surveillance and adhere to the principles of partnering (Level B). Co-operation and Pro-active Partnering in that they require some a small amount of surveillance and adhere to the principles of partnering (Level C). Co-operation and Pro-active Partnering in that they require a large amount of surveillance and adhere to the principles of partnering (Level D). (strike out the item that does not apply) I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. Yours faithfully Signed Position in Supervising Authority Address Contact Number Address Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 15

16 APPENDIX 6 QUALITY ASSURANCE VERIFICATION LETTER (Template letter only) Resource Manager Capital Delivery Capital Delivery Unit/ Capital Programme Group Christchurch City Council P O Box Christchurch 8154 (Date) QUALITY ASSURANCE VERIFICATION In relation to the CCC Roading Contractor Prequalification process I have been asked to confirm that in my opinion (name of Contractor) has satisfactorily completed the (name of projects) to the value of (value). In my view (name of Contractor) is capable of providing Quality Assurance to Level A Quality Assurance to Level B, C and D (strike out the item that does not apply) I understand that specified quality certification evidence will be supplied to the Council as part of this application for Roading Contractor Preregistration. I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. Yours faithfully Signed Position in Supervising Authority Address Contact Number Address Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 16

17 APPENDIX 7 HEALTH AND SAFETY VERIFICATION FORM To be submitted with Prequalification application. FROM (Name of Contractor) We confirm that this Company has a Health and Safety Management Plan which complies with the requirements of the Health and Safety Employment Act 1992, Health and Safety in Employment regulations 1995 and all other relevant legislation. We confirm that this plan will be kept up to date and will not be cancelled during any time that this Company is under contract for work to the Council. We confirm that the following requirements are part of the Plan. 1. Active Management Commitment This must include and cover Policy Goals Responsibilities Hazard review process 2. Hazard Management This must include and cover Hazard identification Significant hazards identified Hazard control documented Hazard review process 3. Information, Training and Supervision This must include and cover Training records Information given to employees Competency Induction Supervision 4. Accident Recording, Reporting and Investigation This must include and cover Register Serious harm Investigation Statistical Analysis 5. Emergency Procedures This must include and cover Emergency plan Training Drills First aiders 6. Principals, Contractors, Subcontractors This must include and cover Duties Selection process Induction Monitoring I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. I the undersigned confirm that the above information is true and factual. I confirm that I am the authorised signatory for this matter. Authorised Signatory Name and Company Position Date Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 17

18 APPENDIX 8 INSURANCE CONFIRMATION FORM To be submitted with Prequalification application. FROM (Name of Contractor) We confirm that this Company holds or is able to obtain the following insurances and will be able to submit for approval information as to these insurances in the form required prior to commencement of work. (a) Information as to Contract Works Insurance (using the form in Seventh Schedule to General Conditions of Contract NZS 3910:2003); (b) Information as to Public Liability Insurance (using the form in Eighth Schedule to General Conditions of Contract NZS 3910:2003); (c) Information as to the Contractor s Construction Machinery Insurance (using the form in Ninth Schedule to General Conditions of Contract NZS 3910:2003); (d) Information as to the Contractor s Motor Vehicle Insurance (using the form in Tenth Schedule to General Conditions of Contract NZS 3910:2003). (e) Information as to the Contractor s Professional Indemnity Insurance (using the form in Eleventh Schedule to General Conditions of Contract NZS 3910:2003). I confirm that I have had no financial association with this Contractor and in my opinion no conflict of interest exists. I the undersigned confirm that the above information is true and factual. I confirm that I am the authorised signatory for this matter. Authorised Signatory Name and Company Position Date Manual for Roading Contractor Prequalification for Authorised CCC Roading Work 18

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