Introduction
In response to the market, UKAEA has developed a
standard form of prequalification (PQQ) to enable companies to provide their
generic prequalification details centrally and avoid the need for multiple
prequalifications. This form should be
completed and certified as being accurate by one of the company's directors
(preferably the Finance Director or, in the case of a partnership, a senior or
controlling partner).
The completion of this form does not commit UKAEA in
any way nor is it intended to circumvent any legal requirements required under
EC Procurement Directives or Competition rules.
UKAEA is at liberty to confirm any details entered on to the form and
may request an audit of the detail giving reasonable notice.
The form only requests generic company information
and project specific prequalification detail will be requested separately at
the appropriate time. It is anticipated
that for certain tender exercises a director of the company may be required to
confirm the accuracy of the information at the given time.
The
completed document may be provided either in hard copy or electronic format.
All
requests for clarification or further information in respect of this PQQ should
be addressed to the named contact point.
No approach of any kind in connection with this PQQ should be made to
any other person within, or associated with UKAEA.
The Prequalification Process
This PQQ forms the first part of the process. The second part of the process is for
project-specific requirements.
Respondents must adhere to the format of this PQQ when answering
the questions. Where questions cannot be
fully answered, please provide relevant explanation and details.
Company Declaration
I, the
undersigned, confirm that the information contained in this PQQ response is
correct at the time of completion. Any
changes relevant to this requirement will be notified to the UKAEA contact
concerned without undue delay.
[If you are
completing this form electronically, your submission will indicate your
acceptance of the above statement.]
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Signed |
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Date |
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Print name |
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Position |
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On behalf of |
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(Company name) |
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1 Company name |
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Full company name |
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1.1 |
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Previous
company name (how long since
name change?) |
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1.2 |
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2 Address |
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Registered address
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Street/building/PO
box |
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2.1 |
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Town/city |
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2.2 |
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Postal code |
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2.3 |
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County/region |
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2.4 |
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Country |
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2.5 |
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Telephone |
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2.6 |
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Facsimile |
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2.7 |
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General email
address |
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2.8 |
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www address |
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2.9 |
Order/tender address (if different
from above)
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Street/building/PO
box |
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2.10 |
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Town/city |
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2.11 |
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Postal code |
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2.12 |
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County/region |
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2.13 |
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Country |
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2.14 |
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Telephone |
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2.15 |
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Facsimile |
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2.16 |
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Order/tender
email address |
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2.17 |
Invoice address (if different from
2.10)
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Street/building/PO
box |
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2.18 |
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Town/city |
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2.19 |
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Postal code |
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2.20 |
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County/region |
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2.21 |
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Country |
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2.22 |
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Telephone |
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2.23 |
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Facsimile |
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2.24 |
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Invoice email
address |
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2.25 |
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3 Company registration |
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Company type (eg limited, plc etc) |
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3.1 |
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Country of
registration |
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3.2 |
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Registration
number |
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3.3 |
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Registration
year |
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3.4 |
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Company
owners |
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List of
national owners |
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Company name |
Shareholding |
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3.5 |
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3.6 |
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3.7 |
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3.8 |
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3.9 |
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List of
international owners |
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Company name |
Shareholding |
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3.10 |
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3.11 |
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3.12 |
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3.13 |
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3.14 |
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Associate
companies |
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Company name |
Relationship |
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3.15 |
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3.16 |
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3.17 |
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3.18 |
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3.19 |
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4 Personnel |
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Executive
personnel |
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Name |
Position
(directors/partners etc) |
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4.1 |
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4.2 |
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4.3 |
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4.4 |
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4.5 |
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Contact
persons |
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Name |
Job title |
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4.6 |
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4.7 |
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4.8 |
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4.9 |
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4.10 |
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Employees/contractors |
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Year |
No of employees |
No of agency staff |
Percentage loss |
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4.11 |
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4.12 |
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4.13 |
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5 Financial information |
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Financial information
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Financial year
ending |
(day/month) |
5.1 |
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Currency used
in accounts |
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5.2 |
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% of annual
turnover to local economy |
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5.3 |
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Local economic
region |
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5.4 |
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Accounts (as
registered) |
Latest accounting year |
Previous accounting year |
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Accounting year |
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5.5 |
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Annual turnover |
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5.6 |
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Pre-tax profit |
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5.7 |
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Total assets |
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5.8 |
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Current assets |
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5.9 |
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Total short
term liabilities |
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5.10 |
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Total net
assets |
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5.11 |
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Issued share
capital (if applicable) |
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5.12 |
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6 Insurance |
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Standards /
insurance |
Public liability |
Employer’s liability |
Professional indemnity |
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Year |
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6.1 |
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Value per
incident |
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6.2 |
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Total
cumulative value |
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6.3 |
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Professional
indemnity coverage |
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6.4 |
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7 Standards and Policies |
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Quality Assurance (QA) Standard |
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7.1 |
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QA Policy
Statement (limited to 100 words setting out your company’s general policy on
QA) |
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7.2 |
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Safety Standard |
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7.3 |
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List here for
past year the number of : q
Lost
time accidents q
Fatalities q
Non-reportable
incidents q
Outstanding
prosecutions q
Previous
prosecutions (last five years) |
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7.4 |
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Environmental
Standard |
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7.5 |
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Environmental
Policy Statement (limited to 100
words setting out your company’s general environmental policy) |
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7.6 |
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Licensed waste
carrier |
Yes/No |
7.7 |
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Licence number |
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Date valid to |
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7.8 |
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Licensed
asbestos contractor |
Yes/No |
7.9 |
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Licence number |
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Date valid to |
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7.10 |
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8 Capability |
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Please provide details of your company's
organisation and management hierarchy in the form of an organogram (or wiring
diagram) |
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Please provide details of the principal
areas of business activities in which your company specialises. |
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8.1 |
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Please provide a staff profile showing
the total number of permanent staff employed, their grades, trade and
professional qualifications. |
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8.2 |
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Please provide details of the
qualifications, experience and awards achieved by key personnel within the
company. |
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8.3 |
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Please indicate which professional or
trade bodies your company belongs to. |
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8.4 |
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Please provide details of any mergers
and acquisitions in the last three years, which have resulted in a
significant change in the nature of the company’s business. |
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8.5 |
Please provide details of your
company’s e‑business experience and capability.
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8.6 |