PRE QUALIFICATION QUESTIONNAIRE

of 24 Name: Jane Mitchell Procurement Officer Town Hall Essex CM15 8AY Our ref: xxxxx Date: 25th February 2015 PRE QUALIFICATION QUESTIONNAIRE Contract Description: Contract Location: Project Management Services Procurement Borough (the Council) invites applications for project management services for the development of the existing William Hunter Way car park site detailed in the attached schedule. The information and documents for this opportunity are available at https://www.delta-esourcing.com. Please be advised that the Council are seeking to appoint one provider for the whole contract and therefore submissions for only specific aspects of the project will not be considered. You must register on this site to respond. If you are already registered you will not need to register again. Simply use your existing username and password. Please note there is a password reminder link on the home page. Suppliers must log in, go to your Response Manager and add the following Access Code: enter access code here Please ensure you follow any instruction provided to you. The deadline for submitting your tender submission is 12.00 noon on Tuesday 10 th March 2015. Please ensure that you allow yourself plenty of time when responding to this pre-qualification questionnaire prior to the closing date and time, especially if you have been asked to upload documents. If you experience any technical difficulties please contact the Delta esourcing Helpdesk on call 0845 270 7050 or email helpdesk@delta-esourcing.com.

of 24 Contents IMPORTANT NOTICE... 3 1.0 Summary Contract Details... 4 2.0 Project Requirements... 4 3.0 Timeline... 6 4.0 Completing and Submitting PQQs... 6 5.0 Assessment and Shortlisting... 7 6.0 Pre-Qualification naire... 9

of 24 IMPORTANT NOTICE This Pre-Qualification naire ( PQQ ) has been prepared by Borough Council for use by those organisations ( Applicants ) who are interested in entering into a contract with, their professional advisers and other parties essential to preparing responses to the PQQ and for no other purpose. The information contained in this PQQ and all subsequent information and documents sent to you by pursuant to this procurement must be treated as confidential and must not be disclosed to any third party. If you are unable to comply with this requirement you must destroy this PQQ and all associated documents immediately and not retain any electronic or paper copies. No warranties or opinions as to the accuracy or completeness of any information provided in, or which accompanies, this PQQ or otherwise as to the powers and/or status of shall be given at any stage by Borough Council and any liability for any inaccuracy or incompleteness is therefore expressly disclaimed by. Any person considering making a decision to enter into contractual relationships with or any other person on the basis of the information provided by or on behalf of must make their own investigations and form their own opinion in relation to the status, completeness and accuracy of all such information and in relation to the status and/or powers. Your attention is drawn to the fact that, by issuing this PQQ, Borough Council is in no way committed to awarding any contract and reserves the right to cancel the tendering process at any point. shall not be liable for any costs resulting from any cancellation of this tendering process nor for any other costs incurred by those expressing an interest in or tendering for this contract opportunity.

of 24 1.0 Summary Contract Details Item Contract Description: Estimated value of Contract: Period of Contract: Date and time for PQQ return: Contract Details Appointment of an Independent Project Management Team, who can provide supporting expert advice and project manager services, to provide the necessary expertise to ensure the delivery of a successful project in terms of quality, cost, programme, risk and good governance at the existing William Hunter Way car park site. Range between 130,000 and 170,000 (on a fixed price basis) The contract period will be approximately 24 months, this is based on an anticipated construction length of 18 months from November 2015. 12.00 noon on Tuesday 10 th March 2015 2.0 Project Requirements 2.1 The Project Brief wish to review the potential development of the existing council owned car park site in William Hunter Way. The Town Centre Renaissance Strategy (May 2010) contains the following statements:..to conserve the qualities of Town Centre while enhancing and improving the negative aspects of the function and appearance of the town. To create a vibrant town centre which balances the requirements of retail, residential, office and leisure uses around an efficient network of public transport and a high quality High Street Following on from the success of the High Street improvement scheme a vision for the future development of William Hunter Way should be produced The above are a clear indication of the stated need to develop the William Hunter Way site. This is also supported by the priorities listed under A Prosperous Borough in the Corporate Plan 2013-2016. Accordingly the Council has created the William Hunter Way project to address the above needs. To that end the following have been agreed in relation to the development of William Hunter Way. An options paper with recommendations was agreed at the Extraordinary Council Meeting 7 th April 2014. Option 6 (combined with de-risking the site) was agreed at the Extraordinary Council meeting A borough wide consultation was carried out between 1 st September 2014 and 5 th November 2014 and recommendations agreed at Ordinary Council 10 th December 2014. The results of the consultation can be found by

of 24 following the following link - http:///index.php?cid=2571 1.2 Million has been earmarked for the costs of the project in the MTFP, however it is hoped that some costs will be met by any potential developer. Nine letters have been issued to parties expressing interest in the WHW site. The final options paper is included at Appendix 1. 2.2 Project Management Services Council requires professional support to realise a project of this scale and complexity. For this reason they have decided to appoint an Independent Project Management Team, who can provide supporting expert advice and project manager services, to provide the necessary expertise to ensure the delivery of a successful project in terms of quality, cost, programme, risk and good governance. The Project Management Team will have a direct relationship with Philip Ruck, Borough Council s designated point of contact for the project. However, the Project Manager will also have regular liaison with the project working group and relevant committee who represent. place a significant value on the quality of the appointed Project Management Team with particular emphasis on their commitment and passion shown to the project, ability to engender good working relationships between teams and stakeholders and have significant experience in developing and managing effective communication and project protocols. Key will be a strong record of delivery in this type of project. The following is a high level overview of the requirement, a more detailed specification will be provided at tender stage; Act as the Project Management Team on behalf of the Council in relation to the William Hunter Way development Conduct Feasibility and Development appraisals on proposals Assess income generation and occupier demand and interest Interview and recommend the professional team that will be required in line with BBC procurement procedures Produce, under the direction of the BBC s Head of Planning, the Development Brief Manage the professional team through the Planning Process Create and deliver the stakeholder engagement plan and in conjunction with the council Manage communication through the Planning Process Deliver planning proposal within agreed timelines Develop a Branding and Marketing Strategy Identify Target Retailers and Occupiers Build a business plan that maximises the return for Create the plan for delivery of the proposal

of 24 Project manage the Planning Process Provide project meeting schedules and minutes Provide fortnightly project updates Develop the project plan, roles and responsibilities Manage the project meetings as appropriate to deliver the output Please see s website at http:/// for further details about the Council. 3.0 Timeline This timetable is indicative only. reserve the right to change it at its discretion. Stage Date/time Submission of completed PQQs 12.00 noon Tuesday 10 th March 2015 Assessment of completed PQQs Wednesday 11 th March until Wednesday 18 th March 2015 Notification of result of PQQ short listing Monday 23 rd March 2015 Expected issue of Invitation to Tender Monday 23 rd March 2015 Expected date for submission of Tenders 12.00 noon Monday 8 th April 2015 Contract award notification Tuesday 28 th April 2015 Contract start date Tuesday 5 th May 2015 4.0 Completing and Submitting PQQs 4.1 General Requirements You must, in English or a full English language translation provided at no cost to the Council, complete and submit one copy of the PQQ document and by doing so will be deemed to have submitted the PQQ for evaluation in accordance with the terms of the Declaration in Section 8. Completed PQQs must be returned online via the Delta E-Tendering system. Hard copies will not be accepted. PQQs should be returned by 12.00 noon Tuesday 10 th March 2015. Failure to comply with the deadline, fully complete the documents, provide all the information required or meet any of the PQQ requirements may result in your PQQ failing and not being further considered by. It is strongly advised that you make sure everything is attached and complete before submitting. If there are any questions which do not apply, please mark them N/A with an explanation where appropriate.

of 24 may require clarification of the PQQs during the assessment process and will contact Applicants as necessary for any clarification required. 4.2 Queries/ Further Information Should you require any further information please contact Jane Mitchell using the Delta E-Tendering system, using the reference number XXX. Please do not contact any other member of s staff or its advisers directly. Any information provided in response where not confidential will also be provided to the other Applicants. will respond in writing unless an alternative response is considered to be appropriate in the circumstances. Any queries must be received no later than 5.00pm Thursday 5 th March 2015. 5.0 Assessment and Shortlisting 5.1 naire Assessment Section Assessment Weighting Section 1 - Basic Details of Your Organisation Section 2 - Grounds for Exclusion Section 3 - Insurance and Financial Information Section 4 - Technical Ability Section 5 - Environmental Section 6 - Equal Opportunities Section 7 - References Section 8 - Declaration This section is for information only to ensure has the correct details of all applicants. Applicants are required to provide all details but the information will not be scored. This section will be assessed on a pass/fail basis. This section will be assessed on a pass/fail basis. The Applicant must provide a positive response to the questions marked pass/fail in this section. This section will be assessed on a pass/fail basis. This section will be assessed on a pass/fail basis. This section is for information only at this stage. reserves the right to obtain further information and references from named referees as the selection process continues and any information from a referee may be used to verify scores allocated to the Applicant s responses to other sections of this PQQ. Applicants must read, sign and return this undertaking with their PQQ response. N/A Pass/Fail Pass/Fail Pass/Fail where indicated 100% Pass/Fail Pass/Fail N/A Pass/Fail

of 24 5.2 Scored Responses Evaluation Responses to each scored question within Section 4 - Technical Capacity and Section 5 - Environmental will be scored in line with the following scoring system: Score 0 Scoring Guidance No response / Does not address / barely addresses the requirements / insufficient response. 1 Shows minimal understanding or reference to the question. 2 Satisfies some of the requirement. 3 Satisfies the entire requirement in basic detail. 4 Satisfies the entire requirement in greater detail. 5 Exceeds the requirement. 5.3 Assessment Process s advisors will undertake an assessment and shortlisting process as follows: Step 1: Step 2: Step 3: Any Applicant whose PQQ response does not satisfy any pass/fail criteria in any Section may be treated as ineligible for this contract opportunity and their PQQ response will not be assessed further. The remaining sections of the PQQ response will be assessed and scored out of the maximum available marks for those Sections as stated in the Scoring Table. The Applicants scores will be ranked applying the weightings set out in the Scoring Table above, the five highest scoring Applicants will be short listed and invited to tender.

6.0 Pre-Qualification naire Instructions for Completion Page 9 of 24 The PQQ should be completed and submitted using this template, attachments requested should be clearly referenced within the relevant question below. The word limit set should not be exceeded, if it is exceeded the Council will only review the response which was provided within the word limit identified within the question. Please do not refer to responses to other questions within your submission or other external sources of documentation as this information will not be included within the evaluation, nor will prior knowledge of the Applicant. Section 1 - Basic Details of Your Organisation 1.1 Name of the organisation in whose name the tender would be submitted: 1.2 Contact name for enquiries about this bid: 1.3 Contact position (Job Title): 1.4 Address: 1.5 Telephone number: 1.6 Fax number: 1.7 e-mail address: 1.8 Website address (if any): 1.9 Company Registration number (if this applies): 1.10 Charities or Housing Association or other Registration number (if this applies). Please specify registering body: 1.11 Date of Registration: 1.12 Registered address if different from the above (including post code) 1.13 VAT Registration number: Response

of 24 Response 1.14 Type of organisation (e.g. Public Limited Company, Limited Company, Partnership, Sole Trader, Other if other please specify) 1.15 Name of (ultimate) parent company (if this applies): 1.16 Companies House Registration number of parent company (if this applies): Section 2 Grounds for Exclusion 2.1 2.2 Response Pass/Fail Criteria Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been convicted of conspiracy within the meaning of section 1 and 1A of the Criminal Law Act 1977 or Article 9 or 9A of the Criminal Attempts and Conspiracy (Northern Ireland) Order 1983, where the conspiracy relates to participation in a criminal organisation, as defined in Article 2 of Council Framework Decision 2008/841/JHA: Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been convicted of corruption within the meaning of section 1 of the Public Bodies Corrupt Practices Act 1889 or section 1 (2) of the Prevention of Corruption Act 1906 (as amended); where the offence relates to active corruption? Active corruption means corruption as defined in Article 3 of the Council Act of 26 May 1997 or Article 3(1) of Council Joint Action 98/742/JHA: If yes, automatic mandatory exclusion - Regulation 23(1) If yes, automatic mandatory exclusion - Regulation 23(1) 2.3 Has your organisation, or any of its Directors or any other person If yes, automatic mandatory

of 24 2.4 2.5 Response Pass/Fail Criteria who has powers of representation, decision or control of your organisation, been convicted of the offence of bribery (including offences under the Bribery Act 2010): Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been convicted of the offence of fraud, where the offence relates to fraud affecting the European Communities Financial Interests as defined by Article 1 of the Convention on the protection of the financial interests of the European Communities within the meaning of: 1 - the offence of cheating the Revenue; 2 - the offence of conspiracy to defraud; 3 - fraud or theft within the meaning of the Theft Act 1968, the Theft Act (Northern Ireland) 1969, the Theft Act 1978, and the Theft (Northern Ireland) Order 1978; 4 - fraudulent trading within the meaning of section 458 of the Companies Act 1985, article 451 of the Companies (Northern Ireland) Order 1986 or section 993 of the Companies Act 2006; 5 - fraudulent evasion within the meaning of section 170 of the Customs and Excise Management Act 1979 or section 72 of the Value Added Tax Act 1994; 6 - an offence in connection with taxation in the European Union within the meaning of section 71 of the Criminal Justice Act 1993; 7 - destroying, defacing or concealing of documents or procuring the execution of valuable security within the meaning of section 20 of the Theft Act 1968 or section 19 of the Theft Act (Northern Ireland) 1969; 8 - fraud within the meaning of section 2, 3 or 4 of the Fraud Act 2006; or 9 - making, adapting, supplying or offering to supply articles for use in frauds within the meaning of section 7 of the Fraud Act 2006: Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your exclusion - Regulation 23(1) If yes, automatic mandatory exclusion - Regulation 23(1) If yes, automatic mandatory exclusion - Regulation

of 24 2.6 2.7 2.8 2.9 2.10 Response Pass/Fail Criteria organisation, been convicted of money laundering within the meaning of Section 340(11) of the Proceeds of Crime Act 2002: Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been convicted of an offence in connection with the proceeds of criminal conduct within the meaning of section 93A, 93B or 93C of the Criminal Justice Act 1988 or article 45, 46 or 47 of the Proceeds of Crime (Northern Ireland) order 1996: Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been convicted of any other offence in connection with the proceeds of drug trafficking within the meaning of section 49, 50 or 51 of the Drug Trafficking Act 1994: Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been convicted of any other offense within the meaning of Article 45(1) of the Public Sector Directive, as defined by the national law of any relevant state: Has your organisation, or any of its Directors or any other person who has powers of representation, decision or control of your organisation, been made bankrupt, or had a receiving order or administrating order or bankruptcy restrictions order or a debt relief restrictions order made against them: Is your organisation, being an individual, a person in respect of whom a debt relief order has been made or is bankrupt, or has had a receiving order or administration order or bankruptcy restrictions order or a debt relief restrictions order made against him or has made any composition or arrangement for the benefit of his creditors or appears unable to pay, or has no reasonable prospect of being able to pay a debt within the meaning of section 268 of the Insolvency Act 1986, or article 242 of the insolvency 23(1) If yes, automatic mandatory exclusion - Regulation 23(1) If yes, automatic mandatory exclusion - Regulation 23(1) If yes, automatic mandatory exclusion - Regulation 23(1) If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure

of 24 2.11 2.12 2.13 2.14 Response Pass/Fail Criteria (Northern Ireland) Order 1989, or in Scotland has granted a trust deed for creditors or become otherwise apparently insolvent, or is the subject of a petition presented for sequestration of his estate, or is subject of any similar procedure under the law of any other state: Has your organisation been in a partnership constituted under Scottish Law, and granted a trust deed or become otherwise insolvent, or had the subject of a petition presented for sequestration of its estate: Has your organisation, being a company or any other entity within the meaning of section 255 of the Enterprise Act 2002, passed a resolution, or is the subject of an order by the court for the company's winding up, otherwise than for the purpose of bona fide reconstruction or amalgamation, or has had a receiver, manager or administrator in behalf of a creditor appointed in respect of the company's business or any part thereof, or is the subject of the above procedures or similar procedures under the law of any other state: Has your organisation been convicted of a criminal offence relating to the conduct of its business or profession: Has your organisation committed an act of grave misconduct in the course of its business or profession: If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds

of 24 2.15 2.16 2.17 Response Pass/Fail Criteria Has your organisation not fulfilled obligations relating to the payment of social security contributions under the law of any part of the United Kingdom or of the relevant state in which your organisation is established: Has your organisation not fulfilled obligations relating to the payment of taxes under the law of any part of the United Kingdom or of the relevant state in which your organisation is established: Has your organisation been found guilty of serious misrepresentation in providing any information referred to within Regulations 24, 25, 26 or 27 of the Public Contracts Regulations 2006 (and as amended in 2009 and 2011), or has not provided such information in response to a request by a contracting authority: 2.18 Is your organisation licensed to work in the UK: 2.19 If you have answered yes to questions 9 to 17 or you have answered no to question 18 please provide further details. reserve the right to request further (Word count to be completed by applicant) apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If yes please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure If no please provide further details at question 2.19 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure This information should be used to ascertain if there are discretionary grounds

of 24 2.20 2.21 Response Pass/Fail Criteria information where applicable during the evaluation stage (maximum 500 words): Do you have a policy in relation to the prevention of Bribery? If not, would you be willing to put one in place: If you have answered no to question 20, please explain why and provide details of your current approach to preventing bribery (500 words): Yes - policy in place No - no policy in place and not willing to put a policy in place No policy in place but willing to put a policy in place (Word count to be completed by applicant) to allow a pass If yes Pass If no please provide further details at question 2.21 and this will be investigated as to whether any discretionary grounds apply. If not, this will constitute a failure Response will be assessed to ascertain if there are sufficient processes and checks are in place to allow a pass

of 24 Section 3 Insurance and Financial Information Response Pass/Fail Criteria 3.1 Please confirm if you currently have, or are willing to commit to the 10 million pounds minimum required level of Employers Liability Insurance applicable for each and every occurrence; please note that you will be required to provide evidence that you have the required level of insurance before the contract is awarded. / Willing to Commit to taking out insurance to the required level if awarded If no, automatic exclusion 3.2 Please confirm if you currently have, or are willing to commit to the 10 million pounds minimum required level of Public Liability Insurance applicable for each and every occurrence; please note that you will be required to provide evidence that you have the required level of insurance before the contract is awarded / Willing to Commit to taking out insurance to the required level if awarded If no, automatic exclusion 3.3 Please confirm if you currently have, or are willing to commit to the 5 million pounds minimum required level of Professional Indemnity Insurance applicable for each and every occurrence; please note that you will be required to provide evidence that you have the required level of insurance before the contract is awarded. / Willing to Commit to taking out insurance to the required level if awarded If no, automatic exclusion 3.4 Please indicate the annual turnover of your organisation over the last 2 years. If your organisation is part of a group, please give figures for both your own organisation and the ultimate parent company... for year ended / /.. for year ended / / A relevant organisation will pass this question if the turnover in each of the two years is greater than twice the annual value of the contract (the annual contract value for this purpose is considered to be 170,000, therefore you must have a minimum turnover of 340,000. If the organisation provides turnover for the parent company this will be used for the

of 24 3.5 Response Pass/Fail Criteria You are required to provide copies of Audited Accounts for the last two full financial years (or for the period that is available if trading for less than two years) Please submit your Year 1 (most recent) accounts: Provided / Not Provided 3.6 Please submit your Year 2 accounts: Provided / Not Provided 3.7 Where the last full accounts are for a year ended more than six months ago, draft profit and loss accounts for the period since the last accounts will be required. Please submit draft profit and loss accounts: Provided / Not Provided / Not Applicable 3.8 Please submit Appendix 2 - Financial Assessment Form: Provided / Not Provided 3.9 What is the name and branch of your bankers (who could provide a reference)? calculation if the parent is providing a guarantee this should be submitted at question 3.11 If not provided, automatic exclusion If not provided, automatic exclusion If applicable and not provided, automatic exclusion If not provided, automatic exclusion. Please refer to Appendix 2 for details of how financial standing will be assessed If not provided, automatic exclusion 3.10 Further to 1.15 please answer Yes if you are submitting your accounts on behalf of a group t Applicable Information Only 3.11 If you have answered Yes to 3.10 please attached a Parent Company Guarantee Provided / Not Provided / Not Applicable If applicable and not provided, automatic exclusion 3.12 What is the name and position of the officer responsible for financial matters? Information Only

of 24 Section 4 Technical Ability 4.1 4.2 4.3 4.4 4.5 4.6 Has your organisation had a contract terminated within the last 3 years for poor performance where the issues could not be rectified under the terms on the contract? Has your organisation ever failed to have a contract renewed (within the last 3 years) due to failure to perform to the terms of the contract? Please confirm whether your organisation has withdrawn from a contract prematurely within the last three years? If you have answered yes to question 4.1, 4.2 and/or 4.3, please provide details, including what processes and procedures have been put in place to prevent reoccurrence (maximum 500 words). Please submit a copy of your Quality Management Policy: Please detail what quality management system (either formal or informal) your organisation has in place and provide an Response (Word count to be completed by applicant) Provided / Not Provided Pass/Fail Criteria OR Weighting If yes please provide further details at question 4.4 If yes please provide further details at question 4.4 If yes please provide further details at question 4.4 A relevant organisation will fail this question if the response provided does not demonstrate that sufficient processes and procedures have been put in place to prevent re-occurrence. A relevant organisation will fail this question if a policy is not provided OR the policy provided fails to detail clearly who does what, when and how. (Word count to be completed by applicant) 20%

of 24 Response Pass/Fail Criteria OR Weighting overview of this system, including how it is communicated, who is responsible, how it is kept up to date, how it is measured and what benefits this has brought to your current client base (maximum 1,250 words). 4.7 Please explain how you ensure that your organisation is up to date with legislative changes and best practice in respect of services of the type required within this contract, and explain how these changes are communicated throughout your organisation and who is responsible (maximum 500 words). (Word count to be completed by applicant) 5% 4.8 Please provide three examples of contracts awarded within the last three years which included the provision of expert advice and project manager services to ensure the delivery of a successful project in terms of quality, cost, programme, risk and good governance. Within the response you should demonstrate how you achieved each of the previous elements and communication with client representatives. You should also describe how you have obtained client feedback and monitored client satisfaction levels (providing examples and statistics where possible) (maximum 1,500 words per example). (Word count to be completed by applicant) 75% (25% per example) Section 5 Environmental

of 24 5.1 Please provide a copy of your organisation s Environmental Policy/Statement: Response Provided / Not Provided Pass/Fail Criteria OR Weighting A relevant organisation will fail this question if a policy is not provided OR the policy provided fails to identify tangible examples of environmental initiatives detail clearly who does what, when and how.

of 24 Section 6 Equal Opportunities Response Pass/Fail Criteria 6.1 Is it your policy as an employer to comply with your statutory obligations under current equal opportunities legislation? (Your practice must not treat one group of people less favourably than others because of their race, gender, age, religion or belief, disabilities or sexual orientation in relation to decisions to recruit, train or promote employees). If no, automatic exclusion 6.2 Does your organisation have an Equality and Diversity policy which sets out your approach to meeting statutory requirements? If no, automatic exclusion 6.3 In the last three years, has any finding of unlawful discrimination been made against your organisation by any court, industrial tribunal or Equality Commission? If yes please provide further details at question 6.5 6.4 In the last three years has your organisation been the subject of formal investigation by and Equality Commission on grounds of alleged unlawful discrimination? If yes please provide further details at question 6.5 6.5 If you have answered yes to question 6.3 and/or 6.4, please provide details, including what processes and procedures have been put in place to prevent re-occurrence (maximum 500 words). (Word count to be completed by applicant) A relevant organisation will fail this question if the response provided does not demonstrate that sufficient processes and procedures have been put in place to prevent re-occurrence.

Section 7 References Page 22 of 24 Please include the following information for each example provided at question 4.8 Technical Ability above; Client Organisation Name and Address, Contact Name, Job Title, Telephone and Email Address, Contract Start Date, Contract Duration, Annual Contract Value, Services Provided. Referees may be contacted with regard to your performance and delivery of services: Example 1 Client Organisation Name and Address Contact Name Job Title Telephone Email Address Contract Start Date Contract Duration Annual Contract Value Services Provided

of 24 Example 2 Client Organisation Name and Address Contact Name Job Title Telephone Email Address Contract Start Date Contract Duration Annual Contract Value Services Provided Example 3 Client Organisation Name and Address Contact Name Job Title Telephone Email Address Contract Start Date Contract Duration Annual Contract Value Services Provided

of 24 Section 8 Declaration 8 I DECLARE THAT TO THE BEST OF MY KNOWLEDGE THE ANSWERS SUBMITTED IN THIS PQQ (AND ANY SUPPORTING MODULES) ARE CORRECT. I UNDERSTAND THAT THE INFORMATION WILL BE USED IN THE EVALUATION PROCESS TO ASSESS MY ORGANISATION S SUITABILITY TO BE INVITED TENDER FOR THE AUTHORITY S REQUIREMENT. FORM COMPLETED BY 8.1 Name: 8.2 Position (Job Title): 8.3 Date: 8.4 Telephone number: 8.5 Signature