PRINCIPAL CONTRACTORS Competence / Resource Questionnaire

Transcription

1 PRINCIPAL CONTRACTORS Competence / Resource Questionnaire Development Manager / Surveyor to complete: Questionnaire Sent to: Date: Division Telephone Number: Scope of Works Countryside Properties (UK) Ltd requires all Contractors considered for appointment to complete the following Resource Questionnaire. Information provided on this form will be required to demonstrate compliance with the aforementioned Regulation; therefore all information must be accurate. There are five parts to this questionnaire. Parts 1a, 1b, 2, 3, 4 and 5 are the only elements that form part of the process for your company to be recorded as an Approved Contractor on our Approved Contractors Register. Part 1 is information about your company and its capabilities to undertake work on our behalf, such as your Company Structure, Capacity and Insurance details. Parts 2a, 2b and 3 are about your Health & Safety arrangements. Part 4 is about your Quality Assurance. Part 5 is Environmental and Social & Ethical arrangements. Part 6 identifies the expected encloses to be included in your submission Part 7 is your Declaration which requires signing prior to return. Part 2a is only required to be completed if your company has not been pre-qualified by a member of the SSIP Forum. Parts 1, 2b, 3, 4, 5, 6 & 7 are required to be completed by all companies completing this questionnaire. C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 1 of 21

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3 Principal Contractor Competence/Resource Questionnaire Completed By: Company: Correspondance Address: Date: Contact Name: Address: Telephone: Website address: Principal Business Activity: Reminder: Have you been pre qualified by a member of the SSIP Forum ( If, please supply evidence, you will not be required to complete Stage 2a, please complete Stages 1, 2b, 3, 4, 5, 6, & 7. If then ALL Stages must be answered. STAGE 1- BUSINESS RISK ASSESSMENT Question 1. COMPANY STRUCTURE Details (please supply supporting relevant documentation, if additional space is required separate sheet/s may be included) 1.1. Type of company (e.g. Plc: Ltd: Partnership: Sole Trader: Other {please specify} 1.2. Number of years trading C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 3 of 21

4 1.3. Registered Office Address (if different from above) 1.4. Company Registration No (Please provide a copy of Certificate of Incorporation and any Certificate of name changes) 1.5. Name of Ultimate Parent Company (if applicable) 1.6. Parent Company s Registered Office Address (If different from above) 1.7. Parent Company Registration No (Please provide a copy of Certificate of Incorporation and any Certificate of name changes) 1.8. Parent Company Telephone and Fax Nos Please enclose copies of your accounts for the last three years (audited and with annual reports if an incorporated company). IF UNABLE TO PROVIDE ALL REQUESTED INFORMATION, PLEASE GIVE REASONS Are there any outstanding claims or litigation against the company? If yes, please provide details. Under procedures introduced by British Bankers Association we require your written consent to obtain a bank reference. Please complete the Status Enquiry Form attached and return it with your application. You will be required to pay any charges levied by your Bank in connection with this enquiry. C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 4 of 21

5 2. INSURANCE POLICIES 2.1. Please provide details of your Insurance Broker Name of Broker Address Contact Tel No 2.2. Please enclose the following original copy certificates. Employers Liability Insurance Public Liability / Product Liability Insurance All Risks Insurance Plant & Equipment Insurance Professional Indemnity Insurance C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 5 of 21

6 STAGE 2a HEALTH & SAFETY ASSESSMENT Question 1. COMPANY INFORMATION 1.1. Please detail the number of employees in your company. Details (please supply supporting relevant documentation, if additional space is required separate sheet/s may be included) Administration Technical Operatives 1.2. Type of work(s) proposed 1.3. Detail your Company s main work activities if different from above. 2. HEALTH & SAFETY POLICY 2.1. Please provide copies of the following: Health & Safety Policy Statement Organisation for carrying out the policy (i.e. division of duties, delegation of responsibilities, structure chart etc) The arrangements for carrying out the policy 2.2. Provide a clear explanation of how the policy is brought to the attention of your employees 3. STANDARDS & MEMBERSHIPS 3.1. Please provide details of any external sources you have to provide health & safety information and advice? 3.2. Is your company a member of any health and safety organisation (e.g. ROSPA, British Safety Council, APS etc)? If, provide details. 4. WORKFORCE ENVOLVEMENT / INFORMATION / COMMUNICATION 4.1. List the current health & safety handbooks and written instructions issued to your employees How do you communicate to your workforce? (Workforce engagement meetings, safety committees, committee meetings etc)? C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 6 of 21

7 4.3, 4.4 and 4.5 should all include details of any Continual Personal Development and copies of certificates of acceptance or attendance, or details of the training provider Please list the health & safety training suitable to the work, equipment or processes given to your Managers in the last three years Please list the health & safety training suitable to the work, equipment or processes given to your Supervisors in the last three years Please list the health & safety training suitable to the work, equipment or processes given to your Operatives in the last three years. 5. ACCIDENT / INCIDENT STATISTICS 5.1. Please provide accident, occurrences and illhealth statistics for the last three years. Year Fatal Major Injury Over 3 Day Nonreportable Near Miss Dangerous Occurrences Ill Health 5.2. Please provide details of control measures that you have implemented following investigations for any occurrences of major injuries and fatalities to prevent recurrences of these Please provide details of your Accident / Incident Rate for the last three years? 6. HEALTH & SAFETY MANAGEMENT 6.1. Director responsible for Health & Safety Name Position within Company Telephone Number 6.2. Person appointed to provide Health & Safety advice to your company (In-house, or external Safety Manager / Officer / Advisor / Consultant etc) Name Position within/to Company Internal/External Telephone No Health & Safety Qualifications Memberships to H&S Organisations C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 7 of 21

8 6.3. Please detail the frequency of visits to projects and reporting process Please provide details of your monitoring and inspection arrangements 7. RISK ASSESSMENTS / METHOD STATEMEMT 7.1. Does your company undertake their own risk assessments / method statements for safe systems of work? If, with regard to the specific risk assessments, please provide details of what positions in your company would undertake these and what training have they received in regard to risk assessments. If, who undertakes them on your behalf? 7.2. Please enclose examples of risk assessments completed by or for your company within the last three years. These should include COSHH, Manual Handling, Noise, Working at Height, Delivery of Materials, Working within Confined Spaces, Working with machines, Electrical Equipment etc. One example should show non-routine emergency actions and implications for others such as other contractors, visitors clients etc. The examples provided MUST be specific to a project that your company has undertaken. Generic assessments are not acceptable unless there is clear evidence of how they have been applied to a job. 8. HEALTH SURVEILLANCE 8.1. Please provide details of your company s arrangements for providing satisfactory health surveillance for your employees. 9. SUBCONTRACTORS 9.1. Does your company use Subcontractors? If, please describe the arrangements for assessing their health & safety competence and include a copy of your procedure or questionnaires AND one example of a completed assessments, by two stages. 10. WELFARE PROVISIONS Provide details of how welfare will be provided prior to any work commencing on site, including procedures to assess the welfare arrangements are suitable and sufficient throughout the project and including exit strategies. C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 8 of 21

9 STAGE 2b CPPLC SPECIFIC HEALTH & SAFETY ASSESSMENT Question 1. STANDARDS & MEMBERSHIPS 1.1. Is your company certificated to OHSAS 18001:1999 or BS OHSAS 18001:2007 standards? A copy of the certificate must be included Does your internal management system cover the internal auditing of the Health & Safety Systems? If, please provide details If your company has not attained an OHSAS certificate, do you intend to and when? 1.4. Do you have evidence of Health & Safety Best Practice for previous projects? If, please provide details. 2. WORKFORCE ENVOLVEMENT / INFORMATION / COMMUNICATION 2.1. Please provide copies of training matrixes / strategies for CSCS and NVQ requirements (for individuals and company) 2.2. Details of Construction Skills registration for CSCS. Copy(ies) of cards to be provided) 2.3. How do you communicate any risks highlighted in the Pre-construction Information Pack or Construction Phase Plan and ensure that any design changes are communicated to the construction team and subcontractors? 3. TRAFFIC MANAGEMENT 3.1. Please provide details of your company s arrangements to ensure suitable traffic management is in place for the entire project, taking into account residents, general public and other contractors in the area? Details (please supply supporting relevant documentation, if additional space is required separate sheet/s may be included) C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 9 of 21

10 4. FORMAL TICES OR PROSECUTIONS 4.1. Has your company been prosecuted or received notice of intended prosecution by the Health & Safety Executive, Local Enforcing Authority or Fire Service in the last five years? If yes, please provide and remedial actions Has an Enforcing Authority served your company with a Prohibition Notice or an Improvement Notice in the last five years? If yes, please provide and remedial actions. Please note that the HSE Prosecution Database may be checked. A Prosecution will not disbar your company from approval, but a failure to disclose information will. 5. HEALTH & SAFETY MANAGEMENT 5.1. Please provide details of how your company undertakes formal reviews of your health and safety performance. 6. LIAISON, CO-OPERATION & CO-ORDINATION 6.1. Please provide details of your company s arrangements for ensuring satisfactory liaison, co-operation and co-ordination between your company and the Client you are working for, other Principal Contractors in the area, other interested parties or subcontractors with whom you are working. 7. SUBCONTRACTORS 7.1. Do you monitor Subcontractor performance? If, please describe the arrangements for monitoring their health & Safety Performance What level of supervisory competence do you expect from your subcontractor supervisors, please list and attaché examples. 8. PRINCIPAL CONTRACTOR DUTIES 8.1. Please provide details your Company has in place for discharging its duties under CDM 2015, specifically Principal Contractor duties C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 10 of 21

11 9. MODERN SLAVERY ACT 9.1 By tendering for this package of works you confirm that you comply with all obligations under the Modern Slavery Act DECLARATION: Signed: Name: Director Responsible for Health & Safety Date: STAGE 3 ASSESSMENT Question Details (please supply supporting relevant documentation, if additional space is required separate sheet/s may be included) 1. WORK EXPERIENCE DETAILS Client (Name) Principal Designer (Name) Project Address Contact Numbers / Contact Name Brief Description of Project (House build / Commercial / high Rise / Refurbishment) Value of Project C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 11 of 21

12 Date Signed Dated Print Name Position STAGE 4 QUALITY ASSURANCE Question 1. RESPONSIBILITY & AUTHORITY Details (please supply supporting relevant documentation, if additional space is required separate sheet/s may be included) 1.1. Director responsible for Quality Assurance Name 1.2. Please provide examples specific to those responsible for quality regarding how the responsibility of staff / management defined (e.g. in job descriptions, structure chart, procedures, management objectives) 2. STANDARDS & MEMBERSHIPS Position in Company Telephone Number Professional Qualifications / memberships 2.1. Does your company have ISO 9001:2008? (A copy of the certificate MUST be included) 2.2. Please provide details of any long term planning / strategy you have? (e.g. 2, 3, or 5 year business plans) 2.3. Do you have a Quality Policy and / or objectives in relation to Quality? If, please provide details below. If, please provide a copy Please provide details of how you incorporate continual improvement in the business? 2.5. Please provide details of the approach your company takes to ensure continuous professional development, of the Company s Project/ Site Managers and how project quality information and safety is passed onto those involved. C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 12 of 21

13 2.6. Is there a process for evaluating the effectiveness of the company s procedures and processes (e.g. audits, management review meetings / committees). If please provide details Is your company a member of any Quality / Auditing organisation (e.g. BSI, CIQA, LRQA). If, please provide details below, inc membership numbers) 2.8. Please provide details of personnel within your company who will act in the capacity of Project Manager for Countryside Properties Ltd project including relevant qualifications and or experience i.e. Member of Professional body (CIOB) Please provide details of how your company deals with customer complaints. C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 13 of 21

14 STAGE 5 ENVIRONMENTAL, SOCIAL & ETHICAL Question 1. RESPONSIBILITY & AUTHORITY 1.1. Director responsible for Environmental Management 2. INDIVIDUAL QUALIFICATIONS & EXPERIENCE Details (please supply supporting relevant documentation, if additional space is required separate sheet/s may be included) Name Position in Company Telephone Number Environmental Qualifications / memberships 2.1, 2.2 and 2.3 should all include details of any Continual Personal Development and copies of certificates of acceptance or attendance, or details of the training provider. Please list the environmental training suitable to the work, equipment or processes given to your Managers in the last three years. Please list the environmental training suitable to the work, equipment or processes given to your Supervisors in the last three years. Please list the environmental training suitable to the work, equipment or processes given to your Operatives in the last three years. 3. ENVIRONMENTAL POLICY 3.1. Please provide copies of the following: Environmental Policy Statement Organisation for carrying out the policy (i.e. division of duties, delegation of responsibilities, structure chart etc) The arrangements for carrying out the policy 3.2. State how the policy is brought to the attention of all your employees 4. STANDARDS & MEMBERSHIPS 4.1. Is your company certificated to ISO 14001:2004 (A copy of the certificate MUST be included) 4.2. If your company has not attained this certification, do you intend to? If, please state expected or target date for certification Do you undertake internal auditing of your environmental impacts? If, please provide details e.g. procedures, audit schedules) C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 14 of 21

15 4.4. Is your company a member of any Environmental organisations / forums (e.g. IEMA, WWF, CIRIA etc). If, please provide details including membership numbers 4.5. Does your company have evidence of Environmental Best Practice for previous projects? If, please provide details, including any resulting environmental awards. 5. COMPANY STRATEGIES 5.1. Do you implement Key Performance Indicators for Environmental Aspects? If, please provide details 5.2. Has your Company been registered with the CIB Code of Considerate Constructor Scheme? If, please provide details and examples of recent scores Has your company registered schemes with the BRE for BREEAM / EcoHomes / Code for Sustainable Homes (if applicable). If, please provide details and examples of recent scores Please provide details of your Company s arrangements for ensuring satisfactory liaison and cooperation between your company and the local community prior to and during construction? 5.5. Does your Company have objectives in respect of the Governments Standard Assessment Procedures (SAP) if applicable? If, please provide details and examples of recent scores 5.6. Has your Company been prosecuted or received an Enforcement Notice or notice of intended prosecution by an Enforcing Authority (DEFRA, EA or Local Authority) in the previous five years? If, please provide details, including any actions taken to prevent recurrences. 6. RISK ASSESSMENTS / METHOD STATEMENTS 6.1. Do you undertake your own risk assessment / method statements for environmental aspects? If, with regard to the specific risk assessments, please detail what positions in your company would undertake these, and what training have they received in regard to risk assessments. If, who undertakes them on your behalf? 6.2. Please enclose examples of pre-planning / environmental risk assessments and method statements for all environmental aspects completed by or for your company within the last three years. This should include Protection strategy for wildlife, trees, water courses and landscape features etc. One example should show non-routine emergency actions such as diesel spill. The examples provided MUST be specific to a project that your company has undertaken. Generic assessments are not acceptable unless there is clear evidence of how they have been applied to a job Does your company have procedures for monitoring of sound and air pollution to comply with statutes? If, please provide details. 7. WASTE MANAGEMENT 7.1. Is your company registered under the Control of Pollution (Amendment) Act 1989 for the transport of waste? If, please provide a copy of registration and the following details: Registration Number Date of Registration 7.2. If you are not registered under the Control of Pollution (Amendment) Act 1989, then please provide the details of the registered carrier who will be removing the waste on your behalf 7.3. Does your company measure and monitor site waste? If, please provide your waste strategy and procedures 7.4. Does your company propose to reuse / recycle demolition spoil / materials? If, please provide details including any previous completed site waste management plans (SWMP) C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 15 of 21

16 8. SUBCONTRACTORS 8.1. Does your company use Subcontractors? If, please describe the arrangements for assessing their environmental and quality competence and include a copy of your procedure or questionnaires and one example of a completed assessment Do you monitor Subcontractor performance? If, please describe the arrangements for monitoring their environmental and quality performance 8.3. Please provide procedures and / or guidance / toolbox talks on how you deal with the following scenarios. Diesel spillage from bunded storage facility Delivery lorry (carrying fuel) crashes on site prevent the fuel entering adjacent watercourse and existing drainage systems Removal of trees with preservation order Subcontractors fly-tipping of site waste Unauthorised persons on site 9. COMMUNICATION, INFORMATION, INSTRUCTION & TRAINING 9.1. List the current environmental handbooks and / or written instructions issued to your employees 9.2. How do you communicate environmental and quality issues to the workforce, (e.g. workforce engagement meetings, environmental committees, committee meetings etc)? 10. PLANNING & BUILDING REGULATIONS Prove your company s knowledge of the following: Planning Policy Guidance (PPG) Planning Policy Statements (PPS) Supplementary Planning documents (SPD) Draft Consultation Documents (If applicable) Prove your company s knowledge of the following: Energy Service Companies (ESCO s) Multi Utility Service Companies (MUSCO s And other forms of intra-structure co / Trigeneration Approaches (e.g. Combined Heat Power & Water) (If applicable) Prove your company s knowledge of the following: (if applicable) Building Regulation compliance (e.g. Part E Sound testing Building Regulation compliance Part L Air Testing etc If applicable, please provide evidence. C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 16 of 21

17 10.4. Prove your company s knowledge of the following: Energy Performance Certificates Information required for Home Information pack (HP) if applicable Prove your company s knowledge of the following: Modern method of construction Other forms of innovative construction, technology and / or product if applicable 11. EQUAL OPPORTUNITIES Is it your policy, as an employer, to comply with your statutory obligations under the Equality Act 2006 and associated legislation and accordingly, your practice not to treat one group of people less favourably than others because of their age, disability, gender, colour, race, nationality or ethnic origin in relation to decisions to recruit, train or promote employees? If you have an Equal Opportunities / Equality Policy, please enclose a copy with this questionnaire/ In the last three years, have any findings of unlawful discrimination been made against your company by any court or industrial tribunal? If, please provide details of your corrective / preventative actions In the last three years, has your organisation been the subject of formal investigation by the Commission for Equality and Human Rights? If, please provide details of your corrective / preventative actions Is your policy on equality set out (Where response is, provide examples of such instructions, documents, recruitment advertising or other literature. a) In instructions to those concerned with recruitment, training and promotion? b) In documents available to employees, recognised trade unions, or other recognised groups of employees? c) In recruitment advertising, or other pertinent literature? C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 17 of 21

18 STAGE 6 SUMMARY OF ENCLOSURES When returning the completed and signed application, please ensure that you have included the following documentation, where appropriate STAGE 1 BUSINESS RISK ASSESSMENT 1.5 Certificates of incorporation and any certificate for change of name 1.9 Certificates of incorporation and any certificate for change of name for Parent Company 1.14 Company Structure Chart 1.16 Project Team Structure Chart 1.17 Three consecutive years of signed, audited accounts commencing with the most current (Incorporated companies must also included annual reports) 1.19 Signed and completed Status Enquiry Form 3.2 Employers Liability Insurance certificate 3.3 Broker confirmation letter Public / Product Liability Insurance 3.4 Broker confirmation letter All Risks Insurance 3.5 Broker confirmation letter Plant & Equipment Insurance 3.6 Broker confirmation letter Professional Indemnity Insurance STAGE 2a- HEALTH & SAFETY ASSESSMENT 2.1 Statement of your General policy on Health & Safety 2.1 Health & Safety Organisation (Responsibilities, Departments, Structure etc) 2.1 Arrangements for carrying out the Health & Safety Policy 4.3 Copies of certificates of acceptance or attendance of Health & Safety training courses for Managers 4.4 Copies of certificates of acceptance or attendance of Health & Safety training courses for Supervisors 4.5 Copies of certificates of acceptance or attendance of Health & Safety training courses for Operatives 7.2 Examples of Risk Assessment / Method Statement prepared by or for your company 9.1 Copy of Subcontractor approval procedure or questionnaire 9.1 Copy of a completed subcontractor approval STAGE 2b CPPLC SPECIFIC HEALTH & SAFETY ASSESSMENT 1.1 Copy of OHSAS 18001:1999 or BS OHSAS 18001:2007 certificate 2.1 Copies of training matrices / strategies for CSCS and NVQ requirements 2.2 Copies of CSCS cards 2.3 Copy of Employers certificate of Commitment to CSCS 7.2 Examples of required Subcontractor Supervision required TICK to confirm C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 18 of 21

19 STAGE 4 QUALITY ASSURANCE 2.1 Copy of ISO 9001: Copy of Quality Policy STAGE 5 ENVIRONMENTAL, PROTECTION & ENHANCEMENT, SOCIAL & ETHICAL 2.1 Copies of certificates of acceptance or attendance of Environmental training courses for Managers 2.2 Copies of certificates of acceptance or attendance of Environmental training courses for Supervisors 2.3 Copies of certificates of acceptance or attendance of Environmental training courses for Operatives 3.1 Statement of your General policy on Environmental 3.1 Environmental Organisation (Responsibilities, Departments, Structure etc) 3.1 Arrangements for carrying out the Environmental Policy 4.1 Copy of ISO 14001:2004 certificate 5.2 Examples of recent scores from CIB Code of Considerate Scheme 5.3 Examples of recent scores from BRE for BREEAM / EcoHomes / Code for Sustainable Homes 5.5 Examples of recent scores from Governments Standard Assessment Procedures 6.2 Examples of Risk Assessment / Method Statement for Environmental aspects prepared by or for your company 7.1 Copy of Registration certificate under the Control of Pollution (Amendment) Act Copy of Subcontractor approval procedure or questionnaire 8.1 Copy of a completed subcontractor approval 11.2 Copy of your Equal Opportunities / Equality Policy 11.5 Examples of instruction, documents, recruitment advertising and other literature Please continue on a separate sheet if required C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 19 of 21

20 STAGE 7 DECLARATION I/We certify that, to the best of my/our knowledge and belief, the information supplied in this application is accurate. I/We accept the conditions and undertakings requested in this application. I/We understand that false information, or acting in breach of these conditions or/ and undertakings may result in exclusion from evaluation or termination of any contract resulting from this application. I accept that an audit (notice given) may be carried out by Countryside Properties plc. I accept that it is my responsibility to update any details relating to this application, where applicable, to companies within Countryside Properties plc Group. Failure to do so may result in immediate suspension. SIGNED NAME (Block Capitals) POSITION DATE To be signed by an authorised signatory of the applicant company; owner, partner or representative, in his/her own name and on behalf of the company C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc Page 20 of 21

21 RETYPE ON OWN LETTER HEADING STATUS ENQUIRY FORM (As per section 1.19) Our Ref: Ewf/lf/CPPLC Bank Ref Your Ref: {Bank Contact} {Bank Address} Date: Dear Sirs Please accept this letter as authority to provide information usually disclosed by way of a bank reference to: Countryside Properties PLC Countryside House The Drive Brentwood Essex CM13 3AT F.A.O. Mr. E W m Freeman (Group Business Risk analyst) Yours faithfully {Authorised Signatory} CORPORATE DOCUMENT Principal Contractor Competence / Resource Questionnaire Page 21 of 21 C:\Users\hayley.NBFMSTUDIO\Desktop\countryside downloads\new\principle Contractor Competence and Resource Questionnaire.doc