NEDDC - Register as an NEDDC Supplier

We ask all suppliers tendering or quoting for the supply of goods and services to complete a supplier questionnaire (usually it is completed by you and submitted with the bid/offer).

We need to gather information on your company so we can make an objective view on your ability to deliver the goods or services you are offering. We also ask some questions to help us comply with equality & diversity legislation.

If you would like to be considered as a preferred supplier to the Council please complete the form below. Your information will be stored on our supplier database for future reference.

You can check on current contracts and tenders that are being advertised locally by visiting the Source Derbyshire Website or the Derbyshire Partnership tendering portal.

Please complete every section, do not leave any blank spaces or use 'not applicable' as this will invalidate your form. If in doubt please contact the Procurement team.

Please note: if you are completing this form as part of your application to tender, your bid will be rejected if you have not provided ALL the information required.

Legal Status

Company Name:

Registered Address:

Company Registration Number:

Date Company Registered:

Contact Name:

Contact Phone Number:

Contact email Address:

Public, Private or Voluntary Sector
Sole Trader, Partnership, Ltd co., PLC or other

If you are part of a Parent or Holding Company structure or group please provide details of the structure/relationship:

Employers Liability Insurance:

Level of Cover (£):

Policy Expiry Date:

Public Liability Insurance:

Level of Cover (£):

Policy Expiry Date:

Professional Indemnity Insurance:

Level of Cover (£):

Policy Expiry Date:

Do any of the following apply to your organisation, or to (any of) the Director(s), Partners or Proprietor(s):-

Is in a state of bankruptcy, insolvency, compulsory winding up, receivership and composition with creditors or subject to relevant proceedings?

Yes
No

Has been convicted of a criminal offence related to business or professional conduct? (This includes Environmental issues)?

Yes
No

Has not fulfilled obligations related to payment of taxes and social security contributions to the appropriate EU member state?

Yes
No

If YES was answered for any of the above – provide brief details and explain what action has been taken to rectify the situation and prevent a reoccurrence:-

Financial Standing:-

Financial information is required FOR YOUR COMPANY ONLY - NOT the parent company or group finances.

Details of your Company's total finances for all activities in 2007/8:

Turnover (£):

Profit/Loss (£):

Details of your Company’s total finances for all activities 2006/7:

Turnover (£):

Profit/Loss (£):

Details of your Company’s total finances for all activities 2005/6:

Turnover (£):

Profit/Loss (£):

Technical Capability

Relevant Previous Experience:
Whilst The Council encourages new entrants to markets where practicable, we are seeking to discover what relevant experience your company has for the provision of this tender/contract. This can relate to previous or current work. References WILL be taken up if required.

Reference One:-

Name of Client Organisation:

Nature of Contract/Work:

Contract Start Date:

Contract Expiry Date:

Referee Name & Contact Number:

Total Contract Value:

Reference Two:-

Name of Client Organisation:

Nature of Contract/Work:

Contract Start Date:

Contract Expiry Date:

Referee Name & Contact Number:

Total Contract Value:

Reference Three:-

Name of Client Organisation:

Nature of Contract/Work:

Contract Start Date:

Contract Expiry Date:

Referee Name & Contact Number:

Total Contract Value:

Diversity and Equality Issues

The Council believe that Diversity and Equality issues may be applicable for any contracts with us. Give examples to illustrate how you have built diversity into any previous contracts:- How was the success of this measured?

Do any of the following apply to your organisation, or to (any of) the Director(s), Partners or Proprietor(s):-

In the last three years has any finding of unlawful discrimination in relation to employment legislation been made by any court or tribunal or in comparable proceedings in any other jurisdiction? It is unlawful to discriminate on the basis of ethnicity (or race), gender, sexual orientation, disability, religion, belief or age.

Yes
No

If YES was answered for the above – provide brief details and explain what action has been taken to rectify the situation and prevent a reoccurrence:-

Do you have a Race Equality Scheme?

Yes
No

Do you have a Disability Equality Scheme?

Yes
No

Do you have a written company policy which relates to Diversity and Equality?

Yes
No

If any of these documents are available to view online or download please type the website addresses here:-

(A copy of this documentation may be required for examination.)

Please download a copy of our monitoring form from the foot of this page. Once you have downloaded it, you will be able to complete it using WORD and then reload it again below.
This is so that we have a breakdown of the ethnicity of your workforce and can measure this against the National Census.

Please upload a completed copy of our supplier monitoring form (This form can be downloaded from the foot of this page.)

Now just click the submit button to send your completed form to us.

Do you want to register as one of our suppliers?

Downloads

Do you want to register as one of our suppliers?

Downloads

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