Guidance

Annex C - Selection Questionnaire Template / Single Procurement Document (SPD)(HTML)

Published 27 March 2024

This template is available for use by contracting authorities that are not utilising the list of selection questions in their e-procurement platform. It requires customising to reflect the specific procurement.

Standard Selection Questionnaire Template

Potential Supplier Information and Exclusion Grounds: Part 1 and Part 2.

The SQ template includes a self-declaration, made by you (the potential supplier), that none of the grounds for exclusion apply^{[footnote 1]}. If any of the grounds for exclusion do apply, there is an opportunity to explain any measures you have taken to demonstrate your reliability notwithstanding the existence of a ground for exclusion (we call this self-cleaning).

We require all the organisations that form part of your bidding group/consortium and each subcontractor that you are relying on to meet the selection criteria to provide a completed part 1 and part 2. This means that where you are joining a group of organisations, including joint ventures and partnerships, each organisation in that group must complete one of these self-declarations. Subcontractors that you rely on to meet the selection criteria, must also complete a self-declaration (although subcontractors that are not relied upon do not need to complete the self-declaration).

When completed, this form is to be sent back to the contact point given in the procurement documents along with the selection information requested in the procurement documentation.

Supplier Selection Questions: Part 3

The procurement documents will provide instructions on the selection questions you need to respond to and how to submit those responses. If you are bidding on behalf of a group/consortium or you intend to use subcontractors, you should complete all of the selection questions on behalf of the group/consortium and/or any subcontractors.

If the relevant documentary evidence referred to in the Selection Questionnaire is not provided upon request and without delay, we reserve the right to exclude you from the procurement process, including where an award decision has already been notified, and award to another supplier.

Consequences of misrepresentation

If you seriously misrepresent any factual information in filling in the Selection Questionnaire, and so induce an authority to enter into a contract, there may be significant consequences. You may be excluded from the procurement procedure, and from bidding for other contracts for three years. If a contract has been entered into you may be sued for damages and the contract may be rescinded. If fraud, or fraudulent intent, can be proved, you or your responsible officers may be prosecuted and convicted of the offence of fraud by false representation, and you must be excluded from further procurements for five years.

[INSERT PROCUREMENT NAME]

[INSERT REFERENCE NUMBER]

[INSERT PROCUREMENT PROCEDURE e.g. OPEN, RESTRICTED]

Notes for completion

1. The “authority” means the contracting authority, or anyone acting on behalf of the contracting authority, that is seeking to invite suitable candidates to participate in this procurement process.

2. “You” / “Your” refers to the potential supplier completing this standard Selection Questionnaire i.e. the legal entity responsible for the information provided. The term “potential supplier” is intended to cover any economic operator as defined by the Public Contracts Regulations 2015 (referred to as the “regulations”) and could be a registered company; the lead contact for a group of economic operators; charitable organisation; Voluntary Community and Social Enterprise (VCSE); Special Purpose Vehicle; or other form of entity.

3. Please ensure that all questions are completed in full, and in the format requested. If the question does not apply to you, please state ‘N/A’. Should you need to provide additional information in response to the questions, please submit a clearly identified annex.

4. The authority recognises that arrangements set out in section 1.2 of the standard Selection Questionnaire, in relation to a group of economic operators (for example, a consortium) and/or use of subcontractors, may be subject to change and will, therefore, not be finalised until a later date. The lead contact should notify the authority immediately of any change in the proposed arrangements and ensure a completed part 1 and part 2 is submitted for any new organisation relied on to meet the selection criteria. The authority will make a revised assessment of the submission based on the updated information.

5. Note for Contracting Authorities: The following paragraph should be included for Contracting Authorities in scope of PPN 01/22 The authority may decline to consider bids (or otherwise exclude from participating in the procurement) from suppliers who are constituted or organised under the law of Russia or Belarus, or whose ‘Persons of Significant Control’ information states Russia or Belarus as the place of residency, unless the supplier (or any member of their supply chain they rely on to deliver the contract):

• is registered in the UK or in a country the UK has a relevant international agreement with reciprocal rights of access to public procurement; and/or
• has significant business operations in the UK or in a country the UK has a relevant international agreement with reciprocal rights of access to public procurement.

6. For part 1 and part 2 every member of your bidding group/consortium, and any subcontractor that is being relied on to meet the selection criteria, must complete and submit the self-declaration.

7. For the mandatory exclusion grounds only (Q2.1(a)), you must complete the declaration for all relevant persons and entities. There are two categories of persons and entities:

• members of your administrative, management or supervisory board;
• entities and persons who have powers of representation, decision or control.

You must decide, depending on the nature and structure of the entity or person who is bidding, which entities and persons this applies to in your particular circumstances. Clearly, members of your administrative, management or supervisory board should be easily identifiable and will cover company directors (or equivalent for other types of corporate entities) and members of an executive board.

The second category of those with powers of representation, decision or control, is likely to be more complicated. As an illustration, entities or persons with 25% or more shareholding (or equivalent for other types of corporate entities) are likely to have powers or representation, decision or control, although those with a lower shareholding may still have the relevant powers depending on their particular rights.  Similarly, your ultimate parent company (or equivalent for other types of corporate entities) is likely to have powers of representation, decision or control.  Depending on your particular structure, intermediate parent companies who do not have a direct shareholding, directors or members of an executive board of your immediate parent company (for example in the case of an SPV set up specifically to bid for a particular contract), and holders of mortgages or liens may be covered. It isn’t necessary to identify which entities and persons you think are covered but you must be satisfied that your declaration is made in respect of all of those that are covered.

8. Note for Contracting Authorities: The following paragraph is optional for inclusion if a decision has been made to request a self-declaration of the exclusion grounds from subcontractors. All subcontractors are required to complete their own part 1 and part 2^{[footnote 2]}.

9. Note for Contracting Authorities: Para 7 may be amended so separate part 3 answers are requested from each member of the group. This may be required for example for frameworks.

For answers to part 3 – If you are bidding on behalf of a group, for example, a consortium, or you intend to use subcontractors, you should complete all of the questions on behalf of the consortium and/ or any subcontractors, providing one composite response and declaration.

The authority confirms that it will keep confidential and will not disclose to any third parties any information obtained from a named customer contact, other than to the Cabinet Office and/or contracting authorities defined by the regulations, or pursuant to an order of the court or demand made by any competent authority or body where the authority is under a legal or regulatory obligation to make such a disclosure.

10. The Public Procurement Review Service allows government suppliers and potential government suppliers to raise concerns anonymously about unfair public sector procurement practice. The government can then investigate and resolve these concerns for contracting authorities as listed in Schedule 1 of the Public Contracts Regulations 2015. To use the Public Procurement Review Service, read the terms and email [email protected] or phone 0345 010 3503.

Part 1: Your information and the bidding model.

Part 1: Your information and the bidding model.
You must answer all questions in parts 1 and 2, and you must answer all questions in part 3 as well. [Contracting Authorities to change this instruction if all members of the group or required to submit a completed part 3]
Bidders must ensure that every organisation on which they will rely to meet the selection criteria completes and submits their own answers and declaration for part 1 and 2.

Section 1: Your information

Question number	Question	Response
1.1(a)	Name (if registered, please give the registered name)
1.1(b) – (i)	Registered address (if applicable) or head office address
1.1(b) – (ii)	Registered website address (if applicable)
1.1(c)	Trading status a) - public limited company b) - private limited company c) - limited liability partnership d) - other partnership e) - sole trader f) - third sector g) - other (please specify your trading status)
1.1(d)	Date of registration (if applicable) or date of formation.
1.1(e)	Registration number (company, partnership, charity, etc if applicable).
1.1(f)	Registered VAT number.
1.1(g) - (i)	Are you registered with the appropriate professional or trade register(s) specified for this procurement in the country where your organisation is established?	Yes      ▢ No        ▢ N/A      ▢
1.1(g) - (ii)	If you responded yes to 1.1(g) - (i), please provide the relevant details, including the name of the register and registration number(s), and if evidence of registration is available electronically, please provide - the website address, - issuing body - reference number.
1.1(h) - (i)	For procurements for services only, is it a legal requirement in the country where you are established for you to: a) possess a particular authorisation, or b) be a member of a particular organisation, to provide the requirements specified in this procurement?	Yes      ▢ No        ▢
1.1(h) - (ii)	If you responded yes to 1.1(h) - (i), please provide additional details of what is required, confirmation that you have complied with this and, if evidence of compliance is available electronically, please give the website address, issuing body and reference number.
1.1(i)	Relevant classifications (state whether you fall within one of these, and if so which one) a) Voluntary Community Social Enterprise (VCSE). b) Sheltered Workshop. c) Public service mutual.
1.1(j)	Are you a Small, Medium or Micro Enterprise (SME)[footnote 3]?	Yes      ▢ No        ▢
1.1 (k)	Details of Persons with Significant Control (PSC)[footnote 4] [footnote 5], where appropriate[footnote 6]: - Name - Date of birth - Nationality - Country, state or part of the UK where the PSC usually lives - Service address - The date he or she became a PSC in relation to the company - Which conditions for being a PSC are met: - Over 25% up to (and including) 50% - More than 50% and less than 75% - 75% or more (Please enter N/A if not applicable)
1.1(l)	Details of your immediate parent company: - Full name of immediate parent company, - Registered or head office address, - Registration number (if applicable), - VAT number (if applicable), Please enter N/A if not applicable)
1.1(m)	Details of ultimate parent company: - Full name of ultimate parent company, - Registered or head office address, - Registration number (if applicable), - VAT number (if applicable), (Please enter N/A if not applicable)

Please provide the following information about your approach to this procurement:

Section 1: Bidding model

Question number	Question	Response
1.2	Please indicate if you are bidding as a single supplier or as part of a group or consortium? If you are bidding as a single supplier, please go to Q 1.3. If you are bidding as part of a group or consortium (including where you intend to establish a legal entity to deliver the contract, or you are a subcontractor), please tell us: - The name of the group/consortium. - The proposed structure of the group/consortium, including the legal structure where applicable. - The name of the lead member in the group/consortium. - Your role in the group/consortium (e.g. lead member, consortium member, subcontractor). - If you are the lead member in the group/consortium, whether you are relying on other consortium members to meet the selection criteria (i.e. are you relying on other consortium members for economic and technical standing and/or technical and professional ability?) and, if so, which criteria you are relying on them for
1.3	If you are proposing to use subcontractors/a supply chain, please provide the details for each one[footnote 7]. - Name - Registration number - Registered or head office address, - Trading status a. Public limited company b. Private limited company c. Limited liability partnership d. Other partnership e. Sole trader f. Third sector g. Other (please specify your trading status) - Registered VAT number - SME (Yes/No) - The role each subcontractor will take in providing the works and /or supplies e.g. key deliverables - if known - The approximate % of contractual obligations assigned to each subcontractor, if known - Is the subcontractor being relied upon to meet the selection criteria (i.e. are you relying on the subcontractor for economic and technical standing and/or technical and professional ability?) and, if so, which criteria are you relying on them for?
1.4	Lots Where applicable, please tell us which lot(s) you wish to bid for?	Answer

Part 2: Exclusion Grounds

Please answer the following questions in full. Note that every organisation that forms part of your bidding group/consortium, as well as every organisation that is being relied on (including subcontractors being relied on) to meet the selection criteria must complete and submit responses to part 1 and the declarations in part 2.

Section 2: Grounds for mandatory exclusion

Question number	Question	Declaration
2.1 (a)	Within the past five years, anywhere in the world, have you or any person who: - is a member of the supplier’s administrative, management or supervisory body or - has powers of representation, decision or control in the supplier[footnote 8], - been convicted of any of the offences within the summary below and listed in full in Annex D?
-	Participation in a criminal organisation.	Yes      ▢ No        ▢
-	Corruption.	Yes      ▢ No        ▢
-	Terrorist offences or offences linked to terrorist activities.	Yes      ▢ No        ▢
-	Money laundering or terrorist financing.	Yes      ▢ No        ▢
-	Child labour and other forms of trafficking in human beings.	Yes      ▢ No        ▢
-	Any other offence within the meaning of Article 57(1) of the Directive as defined by the law of any jurisdiction outside England, Wales or Northern Ireland.	Yes      ▢ No        ▢
-	Any other offence within the meaning of Article 57(1) of the Directive created after 26th February 2015 in England, Wales or Northern Ireland.	Yes      ▢ No        ▢
2.1(b)	If you have answered yes to any part of question 2.1(a), please provide further details, including: - date of conviction and the jurisdiction, - which of the grounds listed the conviction was for, - the reasons for conviction, - the identity of who has been convicted. If the relevant documentation is available electronically, please provide: - the web address, - issuing authority, - precise reference of the documents.
2.1(c)	If you have answered yes to any part of the question above, please explain what measures have been taken to demonstrate your reliability despite the existence of relevant grounds for exclusion. (Self-cleaning).

Section 3: Mandatory and discretionary grounds relating to the payment of taxes and social security contributions

The detailed grounds for mandatory and discretionary exclusion of a supplier for non-payment of taxes and social security contributions, are set out in Annex D, and should be referred to before completing these questions.

Question number	Question	Declaration
3.1(a)	Please confirm that you have met all your obligations relating to the payment of taxes and social security contributions, both in the country in which you are established and in the UK. If documentation is available electronically, please provide: - the web address, - issuing authority, - precise reference of the documents	Yes      ▢ No        ▢
3.1(b)	If you have answered no to 3.1(a), please provide further details including the following: - country concerned - what is the amount concerned - how the breach was established, i.e. through a judicial or administrative decision or by other means - if the breach has been established through a judicial or administrative decision, please provide the date of the decision - if the breach has been established by other means please specify the means
3.2	Please also confirm whether you have paid, or have entered into a binding arrangement with a view to paying, the outstanding sum including, where applicable, any accrued interest and/or fines.	Yes      ▢ No        ▢

Please Note: We reserve our right to use our discretion to exclude your bid where we can demonstrate by any appropriate means that you are in breach of your obligations relating to the payment of taxes or social security contributions

Section 4: Grounds for Discretionary Exclusion

The detailed grounds for discretionary exclusion of an organisation are set out in Annex D, and should be referred to before completing these questions.

Question number	Question	Declaration
4.1	Within the past three years, anywhere in the world, have any of the situations summarised below and listed in full in Annex D applied to you?
4.1(a)	Breach of environmental obligations? To note that environmental law obligations include Health and Safety obligations. See Annex D.	Yes      ▢ No        ▢
4.1(b)	Breach of social law obligations?	Yes      ▢ No        ▢
4.1(c)	Breach of labour law obligations?	Yes      ▢ No        ▢
4.1(d)	Bankruptcy or subject of insolvency?	Yes       ▢ No        ▢
4.1(e)	Guilty of grave professional misconduct?	Yes      ▢ No        ▢
4.1(f)	Distortion of competition?	Yes      ▢ No        ▢
4.1(g)	Conflict of interest?	Yes      ▢ No        ▢
4.1(h)	Been involved in the preparation of the procurement procedure?	Yes      ▢ No        ▢
4.1(i)	Prior performance issues?	Yes      ▢ No        ▢
4.1(j)	Do any of the following statements apply to you?
4.1(j) - (i)	You have been guilty of serious misrepresentation in supplying the information required for the verification of the absence of grounds for exclusion or the fulfilment of the selection criteria.	Yes      ▢ No        ▢
4.1(j) - (ii)	You have withheld such information.	Yes      ▢ No        ▢
4.1(j) –(iii)	You are not able, without delay, to submit documents if/when required under Regulation 59.	Yes      ▢ No        ▢
4.1(j) –(iv)	You have undertaken to unduly influence the decision-making process of the contracting authority to obtain confidential information that may confer upon you undue advantages in the procurement procedure, or to negligently provide misleading information that may have a material influence on decisions concerning exclusion, selection or award.	Yes      ▢ No        ▢
4.2	You are a relevant commercial organisation subject to Section 54 of the Modern Slavery Act 2015 if you carry on your business, or part of your business in the UK, supplying goods or services and you have an annual turnover of at least £36 million. If you are a relevant commercial organisation, please - - confirm that you have published a statement as required by Section 54 of the Modern Slavery Act. - confirm that the statement complies with the requirements of Section 54.	Yes      ▢ No        ▢ Yes      ▢ No        ▢
4.3	If you have answered YES to any of the questions in 4.1, or NO to question 4.2, please explain what measures have been taken to demonstrate your reliability despite the existence of a relevant ground for exclusion. (Self-cleaning)

Section 5: Economic and Financial Standing

Question number	Question	Response
5.1	If documentary evidence of economic and financial standing is available electronically (e.g. financial statements filed with Companies House), please provide: - the web address - issuing authority - precise reference of the documents
5.2	If documentary evidence of economic and financial standing is not available electronically, please provide a copy of your detailed accounts for the last two years (audited if required by law). Also, for any other person or entity on whom you are relying to meet the selection criteria relating to economic and financial standing, please provide a copy of their detailed accounts for the last two years (audited if required by law).
5.3	If you are not able to provide a response to questions 5.1 or 5.2, please provide any of the following alternatives.
5.3(a)	A statement of your annual turnover, Profit and Loss Account/Income statement, Balance Sheet/statement of Financial Position and Statement of Cash Flow for the most recent year(s) of trading and a bank letter outlining the current cash and credit facility position.
5.3(b)	Alternative information to evidence economic and financial standing (e.g. forecast financial statements and a statement of funding provided by the owners and/or the bank, charity accruals accounts or an alternative means of demonstrating financial status).
5.4	Where we have specified a minimum level of economic and financial standing and/or a minimum financial threshold within the evaluation criteria for this procurement, please self-certify by answering ‘Yes’ or ‘No’ that you meet the requirements set out.	Yes      ▢ No        ▢
5.5	Where you are relying on another member of your bidding group/consortium or any subcontractors or other security in order to meet the selection criteria relating to economic and financial standing, please confirm that the relevant person or entity is willing to provide a guarantee or other security if required

Section 6: Technical and Professional Ability

Question number

Question

6.1

Relevant experience and contract examples Please provide details of up to three contracts, to meet the technical and professional ability criteria set out in the procurement documents in any combination from either the public or private sectors; voluntary, charity or social enterprise (VCSE) that are relevant to our requirement. VCSEs may include samples of grant-funded work. Where this procurement is for supplies or services, the examples must be from the past three years. Where this procurement is for works, the examples may be from the past five years. The named contact provided should be able to provide written evidence to confirm the accuracy of the information provided below. For consortium bids, or where you have indicated that you are relying on a subcontractor in order to meet the technical and professional ability, you should provide relevant examples of where the consortium/particular member/subcontractors have delivered similar requirements. If this is not possible (e.g. the consortium is newly formed or a Special Purpose Vehicle is to be created for this contract) then three separate examples should be provided between the principal member(s) of the proposed consortium or members of the Special Purpose Vehicle or subcontractors (three examples are not required from each member). Where the Supplier is a Special Purpose Vehicle, or a managing agent not intending to be the main provider of the supplies or services, the information requested should be provided in respect of the main intended provider(s) or subcontractor(s) who will deliver the contract. For each contract, please provide the following information If you cannot provide examples see question 6.2

Detail	Contract 1	Contract 2	Contract 3
Name of customer organisation who signed the contract
Name of supplier who signed the contract
Point of contact in the customer’s organisation.
Position in the customer’s organisation
E-mail address
Description of contract.
Contract Start date.
Contract completion date.
Estimated contract value

Question number	Question
6.2	If you cannot provide at least one example for questions 6.1, in no more than [500] words please provide an explanation for this and how you meet the selection criteria relating to technical and professional ability e.g. your organisation is a new start-up or you have provided services in the past but not under a contract.
6.3	Where you intend to subcontract a proportion of the contract, please demonstrate how you have previously maintained healthy supply chains with your subcontractor(s). The description should include, but is not limited to, details of your supply chain management tracking systems to ensure performance of the contract and including prompt payment and whether you are a signatory of the UK Prompt Payment Code (or have given commitments under other equivalent schemes).

Section 7: Additional Questions including Project Specific Questions

Question number	Question	Response
7.1	Insurance Please confirm whether you already have, or can commit to obtain, prior to the commencement of the contract, the levels of insurance cover indicated below: Employer’s (Compulsory) Liability Insurance = £x Public Liability Insurance = £x Professional Indemnity Insurance = £x Product Liability Insurance = £x *There is a legal requirement for certain employers to hold Employer’s (Compulsory) Liability Insurance of £5 million as a minimum. See the Health and Safety Executive website (PDF, 133KB) for more information	Yes      ▢ No        ▢ Yes      ▢ No        ▢ Yes      ▢ No        ▢ Yes      ▢ No        ▢
7.2	Data protection – (Contracting Authorities: please refer to supplier selection guidance before using these questions)	-
7.2(a)	Please confirm that you have in place, or that you will have in place by contract award, the human and technical resources to perform the contract to ensure compliance with the UK General Data Protection Regulations and to ensure the protection of the rights of data subjects.	Yes     ▢ No        ▢
7.2(b)	Please provide details of the technical facilities and measures (including systems and processes) you have in place, or will have in place by contract award, to ensure compliance with the UK General Data Protection Regulations and to ensure the protection of the rights of data subjects.  Your response should include, but should not be limited to facilities and measures: - to ensure ongoing confidentiality, integrity, availability and resilience of processing systems and services; - to comply with the rights of data subjects in respect of receiving privacy information, and access, rectification, deletion and portability of personal data; - to ensure that any consent-based processing meets standards of active, informed consent, and that such consents are recorded and auditable; - to ensure legal safeguards are in place to legitimise transfers of personal data outside the EU (if such transfers will take place); - to maintain records of personal data processing activities; and - to regularly test, assess and evaluate the effectiveness of the above measures.
7.3	Health and Safety - (Contracting Authorities: please refer to supplier selection guidance before using these questions)
7.3 (a)	Please describe the arrangements you have in place to manage health and safety effectively and control significant risks relevant to the requirement (including risks from the use of contractors, where relevant). Please use no more than [500] words.
7.3 (b)	For use with Steel question - Please provide all the relevant details of previous breaches of health and safety legislation in the last 5 years, applicable to the country in which you operate on comparable projects, for both: - your organisation - all your supply chain members involved in the production or supply of steel
7.4	Payment in Contracts Above £5m per annum (Central Government Contracts) If you intend to use a supply chain for this contract, you must demonstrate you have effective systems in place to ensure a reliable supply chain. This question is focused on exploring your payment systems.  If you do not intend to use a supply chain for this contract, you are not required to complete the subsequent questions.
7.4 (a)	Please confirm if you intend to use a supply chain for this contract or (if relevant) to deliver any call off contract that may be awarded under this framework agreement.  If you answer “No” you do not need to complete the rest of this section.		Yes      ▢ No        ▢ NOT SCORED
7.4 (b)	Please confirm that you have systems in place to pay those in your supply chain promptly and effectively, i.e. within your agreed contractual terms.	Yes      ▢ No        ▢ PASS/FAIL
7.4 (c)	Please confirm you have procedures in place for resolving disputed payments and  invoices[footnote 9] with those in your supply chain promptly and effectively. You should explain this in the tender documents	Yes      ▢ No        ▢ PASS/FAIL

PUBLIC SECTOR CONTRACTS ONLY – Requirement under the Public Contracts Regulations 2015 (Regulation 113)

Question number	Question	Response
7.5	Please confirm that for public sector contracts awarded under the Public Contract Regulations 2015 you have systems in place to include (as a minimum) 30-day payment terms in all of your supply chain contracts and require that such terms are passed down through your supply chain.	Yes      No       ▢ PASS/FAIL

PUBLIC AND PRIVATE SECTOR CONTRACTS

Question number	Question	Response
7.6	[footnote 10]Central Government Only - Payment in contracts (including contracts awarded under a framework agreement or dynamic purchasing system) over £5m per annum to be completed only if there is a supply chain[footnote 11] For contracts in both the Public AND Private Sector
7.6 (a)	Sector please provide the percentage of payments and invoices paid by you to those in your immediate supply chain on all contracts for each of the two previous six-month reporting periods[footnote 12]. This should include the percentage of payments and invoices paid within each of the following categories: 1. within 30 days. 2. in 31 to 60 days. 3. in 61 days or more. 4. due but not paid by the last date for payment under agreed contractual terms.	Yes      No       ▢ PASS/FAIL PERCENTAGE OF PAYMENTS IN EACH TIME PERIOD
7.6 (b)	Please provide the average number of days taken by you to pay an invoice to those in your immediate supply chain on all contracts for each of the two previous six-month reporting periods.  It is acceptable to cross refer to information that has previously been submitted to Government or other bodies or is publicly available (provided it covers the required reporting periods), including data published in accordance with the Reporting on Payment Practices and Performance Regulations 2017. If you do wish to cross refer, please provide details and/or insert link(s).	AVERAGE NUMBER OF DAYS TO PAY
7.6 (c)	If you are unable to demonstrate that all invoices have been paid within the agreed contractual terms, please explain why. Note: if you are required to submit an action plan, this action plan must also set out steps to address your payment within agreed terms.
7.6 (d)	If you are unable to demonstrate that ≥95% of invoices payable to your supply chain on all contracts have been paid within 60 days of the receipt of the invoice in at least one of the last two six months reporting periods please provide an action plan for improvement which includes (as a minimum) the following: 1. Identification of the primary causes of failure to pay: (a) 95% of all supply chain invoices within 60 days; and, (b) if relevant, due but not paid by the last date for payment under agreed contractual terms 2. Actions to address each of these causes. 3. A mechanism for and commitment to regular reporting on progress to the bidder’s audit committee (or equivalent). 4. Plan signed off by director. 5. Plan published on its website (this can be a shorter, summary plan) If you have an existing action plan prepared for a different purpose, it is acceptable to attach this but it should contain the above features.
7.7	Central Government Only - Carbon Reduction in Contracts Above £5m per annum
7.7 (a)	Please confirm that you have detailed your environmental management measures by completing and publishing a Carbon Reduction Plan which meets the required reporting standard	Yes      ▢ No       ▢ PASS/FAIL
7.7 (b)	Provide a link to your most recently published Carbon Reduction Plan here:	Provide a web link (URL) to your CRP
7.7 (c)	Please confirm that your organisation is taking steps to reduce your GHG Emissions over time and is publicly committed to achieving Net Zero by 2050	Yes      ▢ No       ▢ PASS/FAIL
7.7 (d)	Please provide your current Net Zero Target Date	Year of Net Zero Target, e.g. 2050
7.7 (e)	Supplier Emissions Declaration
7.7 (e) (i)	Baseline Year:
7.7 (e) (ii)	Scope 1 emissions:
7.7 (e) (iii)	Scope 2 emissions:
7.7 (e) (iv)	Scope 3 emissions:
7.7 (f) (i)	Current/Most Recent Reporting Year:
7.7 (f) (ii)	Scope 1 emissions:
7.7 (f) (iii)	Scope 2 emissions:
7.7 (f) (iv)	Scope 3 emissions:
7.8	Skills and Apprentices In Contracts Above £10m per annum (Central Government Contracts)
7.8 (a)	Please state whether you will be supporting apprenticeships and skills development through this contract.	Yes      No       ▢
7.8 (b)	If ‘YES’ please set out how you will develop and maintain skills to build a more skilled and productive workforce.  Please also provide details of the process in place to ensure that your supply chain supports skills, development and apprenticeships.
7.9	Procuring Steel in Government Contracts (Central Government Contracts)
7.9 (a)	For projects/programmes involving a relevant steel procurement[footnote 13], please describe the supply chain management systems, policies, standards and procedures you have in place to ensure robust supply chain management.
7.9 (b)	Please provide details of previous similar projects where you have demonstrated a high level of competency and effectiveness in managing all supply chain members involved in steel supply or production to ensure a sustainable and resilient supply of steel.
7.10	Suppliers’ Past Performance[footnote 14] (Central Government Contracts)
7.10 (a)	Can you supply a list of your relevant principal contracts for goods and/or services provided in the last three years?	Yes      ▢ No       ▢
7.10 (b)	On request can you provide a certificate from those customers on the list?	Yes      ▢ No       ▢
7.10 (c)	If you cannot obtain a certificate from a customer, can you explain the reasons why?	Yes      ▢ No       ▢
7.10 (d)	If the certificate states that goods and/or services supplied were not satisfactory, are you able to supply information which shows why this will not recur in this contract if you are awarded it?	Yes      ▢ No       ▢
7.10 (e)	Can you supply the information in questions a-d above for any subcontractors [or consortium members] who you are relying upon to perform this contract?	Yes      ▢ No       ▢
7.11	Tackling Modern Slavery in Supply Chains[footnote 15] (Central Government Contracts)
7.11 (a)	If you are a relevant commercial organisation subject to Section 54 of the Modern Slavery Act 2015, and if your latest statement is available electronically, please provide: - the web address, - precise reference of the documents.
7.11 (b)	If your latest statement is not available electronically, please provide a copy.
7.11 (c)	If you are not a relevant commercial organisation subject to Section 54 of the Modern Slavery Act 2015 (for example if your turnover is less than £36 million or you do not carry on your business, or part of your business, in the UK), please provide the above information in relation of any published statements on modern slavery or other relevant documents containing information of a similar type/level.
7.11 (d)	Any modern slavery statement or other statement or document should contain at least the following information: a. the organisation’s structure, its business and its supply chains; b. its policies in relation to slavery and human trafficking; c. its due diligence processes in relation to slavery and human trafficking in its business and supply chains; d. the parts of its business and supply chains where there is a risk of slavery and human trafficking taking place, and the steps it has taken to assess and manage that risk; e. its effectiveness in ensuring that slavery and human trafficking is not taking place in its business or supply chains, measured against such performance indicators as it considers appropriate; f. the training and capacity building about slavery and human trafficking available to its staff; or If all of this information is not included in your modern slavery statement or other statement or documents, please provide an explanation as to why not and/or assurances that it will be included before contract award.

Contact details and declaration

I declare that to the best of my knowledge the answers submitted and information contained in this complete document are correct and accurate, including parts 1, 2 and part 3.

I declare that, upon request and without delay, I will provide the certificates and/or documentary evidence referred to in this document except where this documentation can be accessed by the contracting authority via a national database free of charge or the contracting authority already possesses the documentation.

I understand that the information will be used in the selection process to assess my suitability to participate further in this procurement.

I understand that the authority may reject this submission in its entirety if there is a failure to answer all the relevant questions fully, or if false/misleading information or content is provided in any section.

I am aware of the consequences of serious misrepresentation.

Signature (electronic is acceptable)

Date

Contact details of those making the declaration

Category	Response
Contact name
Name of organisation
Role in organisation
Phone number
E-mail address
Postal address

1. See Annex D for full list of exclusions ↩

2. See PCR 2015 regulations 71 (8)-(9) (PDF, 705KB) . ↩

3. See definition of SME ↩

4. UK companies, Societates European (SEs) and limited liability partnerships (LLPs) are required to identify and record the people who own or control their company. Companies, SEs and LLPs are required to keep a PSC register, and must file the PSC information with the central public register at Companies House. See PSC guidance. Overseas bidders are required to provide equivalent information. ↩

5. It is possible to decline to consider bids from Russian or Belarusian suppliers in certain circumstances. For suppliers who are constituted or organised under the law of Russia or Belarus or their ‘Persons of Significant Control’ information states Russia or Belarus as the place of residency, the supplier’s bid can be discounted.  See PPN 01/22 for further guidance ↩

6. Only information that relates to the persons with powers of representation, decision or control within the meaning of regulation 57(2) can be considered in relation to the mandatory exclusion grounds and other details are requested for information only. ↩

7. This applies to all supply chain members and/or subcontractors, where their identity is known at this stage, irrespective of whether you are relying on them to meet the selection criteria.  Where a supply chain member and/or subcontractor has been identified in response to this question, any resulting subcontract entered into with that subcontractor for that part of the works, services or supplies identified in response to that question will not be subject to the requirement for contracts to advertise the subcontracting opportunity, as set out in PPN 01/18. ↩

8. see Notes for Completion ↩

9. This should include all situations where payments are due; not all payments involve an invoice (see PPN 10/23 Guidance Document (PDF, 208KB)). You should explain this in the tender documents. ↩

10. Central Government departments, their Executive Agencies and Non-Departmental bodies ↩

11. ‘Supply chain’ means suppliers or subcontractors of any Tier that execute any works, supply any products or provide any services that are used wholly or substantially for the purpose of performing (or contributing to the performance of) the whole or any part of the contract. ↩

12. You should explain in the tender documents what a reporting period is by referring to the DBT Guidance ↩

13. Applies to all Central Government Departments, Executive Agencies and Non-Departmental Public Bodies when conducting procurements covered by Part 2 of the Public Contracts Regulations 2015, the Utilities Contracts Regulations 2016, the Defence and Security Public Contracts Regulations 2011, and the Concessions Contracts Regulations 2016, where steel is being procured directly or indirectly. ↩

14. Procurement Policy Note 04/15 Taking Account of Suppliers’ Past Performance ↩

15. Procurement Policy Note 02/23 Tackling Modern Slavery in Govt Supply Chains ↩