Seetec Phase 2 Expression of Interest

Seetec Supply Chain Framework ApplicationThank you for showing an interest in working with Seetec. In anticipation of a major round of contract tender opportunities expected over the coming year, we are seeking to refresh our Supply Chain Framework. This will ensure our Supply Chain is based on data which reflects current priorities and opportunities, experience and capacity.All providers that wish to be considered as delivery or strategic partners for future funding rounds, whether they are existing partners or new entrants will be asked to complete a two stage process

Stage One: Supply Chain Framework Application form. This application will be scored and successful applicants will be eligible to apply for partnership opportunities as and when they arise.Stage two: On the release of each Contract PQQ or ITT all members of our Supply Chain Framework will be asked to complete a contract specific EOI which reflects that specific tender priorities.

Instructions for completing this application To complete check boxes: Double click the appropriate box, a Check Box Form Field Option Box will appear; under default value change from unchecked to checked and then press Ok.

This application form has been designed to reflect different elements of service offered and contains the following sections:Section 1 Contact details Section 2 Current service delivery and service offer Section 3 Organisational Overview and Capacity Section 4 Employment Related ServicesSection 5 Skills DeliverySection 6 MOJ RehabilitationSection 7 Strategic PartnersSection 8 Geographical CoverageSection 9 Quality PracticesSection 10 Financial Data Section 11 Declaration Please Note: Sections 1, 2, 3, 8, 9, 10 and 11 are mandatory for all applicantsSections 4, 5, 6 and 7 have been designed for specific elements of service and should be completed by providers that are applying to deliver the service stated. To be considered for our supply chain framework, it is an essential requirement to complete all relevant sections. For example, where we ask for delivery locations, please complete postcode of each delivery venue available.

All applications will be scored in line with the requirements of the Merlin Standard which entirely reflects our own approach to treating organisations with fairness, courtesy and good sense. If your organisation has not yet done so please see the Merlin Standard website at www.merlinstandard.co.uk This website contains a new standard EOI which providers can complete and make available to any organisation they are interested in working with. In time we envisage this Expression of Interest Form will supersede Seetecs current Expression of Interest form. Once complete, please return this form to bizdev@seetec.co.uk We look forward to hearing from you

Seetec Business Development TeamSection 1: Contact Details

Organisation Name

Organisation typePrivate Limited CompanyYes FORMCHECKBOX No FORMCHECKBOX

Public SectorYes FORMCHECKBOX No FORMCHECKBOX

Third SectorYes FORMCHECKBOX No FORMCHECKBOX

FE CollegeYes FORMCHECKBOX No FORMCHECKBOX

Other (Please Specify

Organisation address

Web site address

Contact Name and Title

Contact telephone and mobile numbers

Email address

Alternative Contact details

Section 2: Service offer and current service delivery 2.1 Please indicate which contract(s) you are specifically interested in. MoJ Transforming Rehabilitation FORMCHECKBOX National Careers Service FORMCHECKBOX DWP Community Work Placements FORMCHECKBOX Other Please detail FORMCHECKBOX

2.2 Please indicate your key areas of service delivery

Employment Related Services (e.g. DWP, JCP, Local Authority, ESF etc) FORMCHECKBOX

Education and Skills (e.g. SFA, EFA, Apprenticeships ) FORMCHECKBOX

Criminal Justice Services (e.g. MOJ, OLASS, NOMS, ESF etc.) FORMCHECKBOX

Strategic Partner e.g. Local Authority, Housing Association etc FORMCHECKBOX

Other (please specify) e.g. Work Placement Provider

2.3 Services Offered: Please indicate the type of services you wish to provide to Seetec

End-to-End Provision: The full Customer Journey to all customer groups FORMCHECKBOX

Specialist End to End Provision: The full customer journey to a specific customer group. FORMCHECKBOX

Specific services: e.g. training, short courses, mentoring / sector specific training FORMCHECKBOX

Specialist Services to particular customer groups: Advice Services (e.g. IAG, financial / legal services)Healthcare / Health Related (e.g. Condition Management, specialist provision)Enterprise, Business Support (e.g. Self Employment, Social Enterprise)Work Placements (e.g. single or group placements)

Engagement Services (e.g. 14-19)

Other (Please specify) FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX

Strategic partner: Delivery of complementary services or non-delivery strategic partner e.g. City Strategy, Local Authority etc. FORMCHECKBOX

2.4 Please provide an indication of the contract value and or indicative number of starts (monthly) you are seeking e.g. 40 starts per month:

2.5 Please indicate Geographical areas of interest:

East of England FORMCHECKBOX London FORMCHECKBOX North West FORMCHECKBOX West Midlands FORMCHECKBOX East Midlands FORMCHECKBOX South West FORMCHECKBOX South East FORMCHECKBOX Other (including UK, Republic of Ireland) (please state) FORMCHECKBOX

Section 3 Organisation Overview and Capacity 3.1 Please provide a brief overview of your organisation - including details of current / former delivery for Seetec and whether a current Seetec Prime or Sub contractor (Max 250 Words)

3.2 Please indicate which customer groups/conditions you have experience working with

BAME Groups FORMCHECKBOX

Learning Disabilities FORMCHECKBOX

Basic Skills Needs FORMCHECKBOX

Lone Parents FORMCHECKBOX

Carers FORMCHECKBOX

Long Term Unemployed FORMCHECKBOX

Economically inactive FORMCHECKBOX

Offenders / Ex-offenders FORMCHECKBOX

ESOL needs FORMCHECKBOX

Older People (50+) FORMCHECKBOX

Health Conditions (Physical) FORMCHECKBOX

Service / Ex-Service Personnel FORMCHECKBOX

Health Conditions (Mental Health) FORMCHECKBOX

Substance Misuse FORMCHECKBOX

Homeless FORMCHECKBOX

Young People and NEETs FORMCHECKBOX

Other (Please specify )

3.3 Please confirm the Grades achieved at your two most recent Ofsted Inspections If N/A tick FORMCHECKBOX

1. Contract and date inspected: Date

Overall Grade1 FORMCHECKBOX

2 FORMCHECKBOX

3 FORMCHECKBOX

4 FORMCHECKBOX NA FORMCHECKBOX

2. Contract and date inspected: Date

Overall Grade1 FORMCHECKBOX

2 FORMCHECKBOX

3 FORMCHECKBOX

4 FORMCHECKBOX NA FORMCHECKBOX

Please provide a link to each Ofsted report detailed

3.4 Please detail the links that you currently have with local stakeholders in each area in which you

have expressed an interest in delivering provision. If no relationships exist write none

Employers

Local Authorities

LEPs

Colleges / Training Providers

Other e.g. Work Placement Providers

please provide examples

Section 4: Employment Related Services

4.1 Are you a current DWP Prime Contractor or Subcontractor?

Please provide details (contract , geography, level etc) below.Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX Both FORMCHECKBOX

4.2 Please provide details of five contracts that demonstrate your track record of Employment Related Service delivery. Please include best and worst performing examples and ensure that examples are relevant to the service you are offering

Funder e.g. DWP, ESF, Local AuthorityDatesContract (Title, Brief Description and Target Group)Geographical areaTargetsOutcomes

4.3 Please provide the reasons behind the underperformance of your worst performing contract and the measures you have taken to address / improve performance (max 250 words)

4.4 Have you had any contracts terminated in the last 5 years? If yes, please explain why (max 500 words)

Yes FORMCHECKBOX No FORMCHECKBOX

4.5 Has your organisation had to previously complete a DWP security plan (either as a Prime Contractor or as a Sub-Contractor) Yes FORMCHECKBOX No FORMCHECKBOX

4.6 Are you a Merlin Standard accredited provider Yes FORMCHECKBOX No FORMCHECKBOX

If Yes have you completed the Merlin Expression of Interest Application? Yes FORMCHECKBOX No FORMCHECKBOX

Section 5 Skills Delivery:5.1 Please confirm the following: UKPRN Number

Are you on the Register of Learning Providers?Yes FORMCHECKBOX No FORMCHECKBOX

Are you on the SFAs Register of Training

Organisations?

Are you a current SFA / EFA Prime or Subcontractor Prime Contractor FORMCHECKBOX Sub Contractor FORMCHECKBOX

What is your current Year SFA contract allocation

Please state the result of your last Provider Financial

Assurance Audit.Delete as appropriate

Good/Satisfactory/Inadequate/NA

5.2 Please confirm whether you currently deliver the following and the relevant Awarding Bodies:

Functional Skills - (English, Maths, ICT - Entry Level)Yes FORMCHECKBOX

Functional Skills - (English, Maths, ICT - Level 1)Yes FORMCHECKBOX

Functional Skills - (English, Maths, ICT - Level 2)Yes FORMCHECKBOX

Delivery of intermediate Apprenticeship Frameworks Yes FORMCHECKBOX

Delivery of Advanced Apprenticeship FrameworksYes FORMCHECKBOX

Delivery of Higher Apprenticeship FrameworksYes FORMCHECKBOX

Delivery of QCF qualifications at Level 1Yes FORMCHECKBOX

Delivery of QCF qualifications at Level 2Yes FORMCHECKBOX

Other please specify

5.3 Please indicate your current Sector delivery and level delivered

5.4 Performance Data

Please provide performance data from your most recent QSRs for the Apprenticeship and QCF qualifications you propose to deliver N.B. For each Framework listed above at 5.3 please provide the latest published QSR data for age groups 16-18, 19-24 and 25+ AND please specify overall and timely success rates

5.5 Work Based Learning experience

Please provide a brief overview of your experience in delivering Apprenticeships and Workplace Learning (max 250 Words)

Section 6: Rehabilitation of Offenders 6.1 Do you currently hold any rehabilitation contracts with probation trusts or prisons?

If yes, please provide details of your delivery experience in section 6.5 below including outcomes/outputs and/or reduced reoffending achievedYes FORMCHECKBOX No FORMCHECKBOX

6.2 Please indicate where you are able to support Seetecs proposed MOJ tender / delivery:

CPA 6 Cheshire & Greater Manchester FORMCHECKBOX

CPA 9 Staffordshire and the West Midlands FORMCHECKBOX

CPA 10 Derbyshire, Nottinghamshire and Leicestershire FORMCHECKBOX

CPA 17 Beds, Northants, Cambs & Herts FORMCHECKBOX

CPA 18 Norfolk & Suffolk FORMCHECKBOX

CPA 21 Kent Surrey Sussex FORMCHECKBOX

Other (please detail below) FORMCHECKBOX

6.3 Please indicate which services you currently provide and brief details of contract (including Geography, funder etc)

AccommodationYes FORMCHECKBOX

No FORMCHECKBOX

Education, Training and EmploymentYes FORMCHECKBOX

No FORMCHECKBOX

Health, Physical and Mental HealthYes FORMCHECKBOX

No FORMCHECKBOX

Drugs /AlcoholYes FORMCHECKBOX

No FORMCHECKBOX

Finance, benefit and debt adviceYes FORMCHECKBOX

No FORMCHECKBOX

Children and FamiliesYes FORMCHECKBOX

No FORMCHECKBOX

Attitudes, thinking and behaviourYes FORMCHECKBOX

No FORMCHECKBOX

Domestic ViolenceYes FORMCHECKBOX

No FORMCHECKBOX

MentoringYes FORMCHECKBOX

No FORMCHECKBOX

Case ManagementYes FORMCHECKBOX

No FORMCHECKBOX

Restorative JusticeYes FORMCHECKBOX

No FORMCHECKBOX

Other (please specify)

6.4 Please indicate the cohorts you have experience of working with

Short Sentence Prisoners Yes FORMCHECKBOX No FORMCHECKBOX

Black, Asian, Minority Ethnic (BAME)Yes FORMCHECKBOX No FORMCHECKBOX

Young Offenders Yes FORMCHECKBOX No FORMCHECKBOX

Older Offenders (50+)Yes FORMCHECKBOX No FORMCHECKBOX

Sex workers Yes FORMCHECKBOX No FORMCHECKBOX

Sex OffendersYes FORMCHECKBOX No FORMCHECKBOX

Women offenders Yes FORMCHECKBOX No FORMCHECKBOX

Other (Please specify below)

6.5 Please provide brief details of current contract delivery across the defined services and cohorts detailed above which has successfully reduced re-offending or achieved specific output / outcome targets. Please ensure that examples are relevant to the service you are offering.

FunderDatesContract (Title, Brief Description and Target Group)Geographical areaTargetsOutcomes

Section 7: Strategic partners and complementary service providers: This section is designed for organisations which can offer strategic partnerships or complementary (i.e. already funded) services which will allow our organisations to deliver better for less by aligning our services around the individual and creating more sustainable outcomes. 7.1 Please indicate which of the following applies to your organisation

Local Authority (Please indicate department) FORMCHECKBOX

Children /Young Peoples Services Employment & Training

Economic Regeneration FORMCHECKBOX

FORMCHECKBOX

FORMCHECKBOX Housing Other (please specify below) FORMCHECKBOX

FORMCHECKBOX

Housing Provider FORMCHECKBOX

Please specify at 7.2 stock size, type of service offered, and local initiatives you have already established to support your tenants with employment / skills needs

Complementary Service Provider FORMCHECKBOX

Drug/Alcohol FORMCHECKBOX Debt/Finance FORMCHECKBOX

ESOL

Health Conditions FORMCHECKBOX

IAG FORMCHECKBOX

Mental Health

Self Employment FORMCHECKBOX

Other(please specify) FORMCHECKBOX

Work Placement Project Provider FORMCHECKBOX

Placement sizeSingle FORMCHECKBOX Group 2-5 FORMCHECKBOX Group 5-10 FORMCHECKBOX Group 10+ FORMCHECKBOX

Please specify sector/type e.g. Horticulture, Conservation etc

Please specify whether supervision is provided Yes FORMCHECKBOX No FORMCHECKBOX

Please confirm that Health & Safety Risk Assessments are completed for each task Yes FORMCHECKBOX No FORMCHECKBOX

Other (please specify)

7.2 Please outline your proposed service offer to Seetec. Max 300 words

Please include: Details of existing local initiatives

Links to local services

Access to local funding streams which could be used to add value to delivery Your payment expectations around services offered

Section 8: Geographical Coverage Please ensure that this section is fully completed as preference will be given to those organisations which provide full details of their geographical coverage. 8.1 Local Authority Area(Please provide postcode of each of your delivery locations in Local Authority areas. If no delivery centre please state your delivery strategy. Delivery Capacity starts per annum

EAST OF ENGLAND

BEDFORD FORMCHECKBOX

CAMBRIDGESHIRE FORMCHECKBOX

CENTRAL BEDFORDSHIRE FORMCHECKBOX

ESSEX FORMCHECKBOX

HERTFORDSHIRE FORMCHECKBOX

LUTON FORMCHECKBOX

NORFOLK FORMCHECKBOX

PETERBOUGH FORMCHECKBOX

SOUTHEND FORMCHECKBOX

SUFFOLK FORMCHECKBOX

THURROCK FORMCHECKBOX

EAST MIDLANDS

DERBY FORMCHECKBOX

DERBYSHIRE FORMCHECKBOX

LEICESTER FORMCHECKBOX

LEICESTERSHIRE FORMCHECKBOX

LINCOLNSHIRE FORMCHECKBOX

NORTHAMPTONSHIRE FORMCHECKBOX

NOTTINGHAM FORMCHECKBOX

NOTTINGHAMSHIRE FORMCHECKBOX

RUTLAND FORMCHECKBOX

LONDON

BARKING AND DAGENHAM FORMCHECKBOX

BARNET FORMCHECKBOX

BEXLEY FORMCHECKBOX

BRENT FORMCHECKBOX

BROMLEY FORMCHECKBOX

CAMDEN FORMCHECKBOX

CITY FORMCHECKBOX

CROYDON FORMCHECKBOX

EALING FORMCHECKBOX

ENFIELD FORMCHECKBOX

GREENWICH FORMCHECKBOX

HACKNEY FORMCHECKBOX

HAMMERSMITH AND FULHAM FORMCHECKBOX

HARRINGEY FORMCHECKBOX

HARROW FORMCHECKBOX

HAVERING FORMCHECKBOX

HILLINGDON FORMCHECKBOX

HOUNSLOW FORMCHECKBOX

ISLINGTON FORMCHECKBOX

LAMBETH FORMCHECKBOX

LEWISHAM FORMCHECKBOX

MERTON FORMCHECKBOX

NEWHAM FORMCHECKBOX

REDBRIDGE FORMCHECKBOX

RICHMOND FORMCHECKBOX

KENSINGTON & CHELSEA FORMCHECKBOX

KINGSTON FORMCHECKBOX

SOUTHWARK FORMCHECKBOX

SUTTON FORMCHECKBOX

TOWER HAMLETS FORMCHECKBOX

WALTHAM FORREST FORMCHECKBOX

WANDSWORTH FORMCHECKBOX

WESTMINSTER FORMCHECKBOX

NORTH WEST

BLACKBURN WITH DARWEN FORMCHECKBOX

BLACKPOOL FORMCHECKBOX

BOLTON FORMCHECKBOX

BURY FORMCHECKBOX

CHESHIRE EAST FORMCHECKBOX

CHESHIRE WEST AND CHESTER FORMCHECKBOX

CUMBRIA FORMCHECKBOX

HALTON FORMCHECKBOX

KNOWSLEY FORMCHECKBOX

LANCACSHIRE FORMCHECKBOX

LIVERPOOL FORMCHECKBOX

MANCHESTER FORMCHECKBOX

OLDHAM FORMCHECKBOX

ROCHDALE FORMCHECKBOX

SALFORD FORMCHECKBOX

SEFTON FORMCHECKBOX

ST HELENS FORMCHECKBOX

STOCKPORT FORMCHECKBOX

TAMESIDE FORMCHECKBOX

TRAFFORD FORMCHECKBOX

WARRINGTON FORMCHECKBOX

WIGAN FORMCHECKBOX

WIRRAL FORMCHECKBOX

SOUTH WEST

BATH AND NE SOMERSET FORMCHECKBOX

POOLE FORMCHECKBOX

BOURNEMOUTH FORMCHECKBOX

BRISTOL FORMCHECKBOX

DEVON FORMCHECKBOX

DORSET FORMCHECKBOX

GLOUCESTERSHIRE FORMCHECKBOX

NORTH SOMERSET FORMCHECKBOX

PLYMOUTH FORMCHECKBOX

SOMERSET FORMCHECKBOX

SOUTH GLOUCIRE FORMCHECKBOX

SWINDON FORMCHECKBOX

WILTSHIRE FORMCHECKBOX

TORBAY FORMCHECKBOX

WEST MIDLANDS

BIRMINGHAM FORMCHECKBOX

TELFORD AND WREKIN FORMCHECKBOX

COVENTRY FORMCHECKBOX

DUDLEY FORMCHECKBOX

HEREFORDSHIRE FORMCHECKBOX

SANDWELL FORMCHECKBOX

SOLIHULL FORMCHECKBOX

STAFFORDSHIRE FORMCHECKBOX

STOKE ON TRENT FORMCHECKBOX

SHROPSHIRE FORMCHECKBOX

WALSALL FORMCHECKBOX

WARWICKSHIRE FORMCHECKBOX

WOLVERHAMPTON FORMCHECKBOX

WORCESTERSHIRE FORMCHECKBOX

8.2 Optional - Please use this space to include any further information on geographical coverage that adds weight to your application e.g. access to third party venues etc

Section 9: Quality Policies and Practices 9.1 Quality Standards: Please identify the quality standards your organisation holds or is working towards

Investors in PeopleYes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

Positive About Disabled PeopleYes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

MatrixYes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

ISO 9001 (Quality Management Systems)Yes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

ISO 27001 (Information Security)Yes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

ISO 14001 (Environmental Management)Yes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

OHSAS 18001 (Occupational Health & Safety)Yes FORMCHECKBOX No FORMCHECKBOX Working Towards FORMCHECKBOX

Other (please specify):

9.2 Policies Held: Please indicate which of the following policies your organisation has in place

Business Code of EthicsYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Fraud ProtectionYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Whistle blowingYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Equality & DiversityYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Health & SafetyYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Safeguarding (vulnerable adults and child safeguarding)Yes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Environmental & SustainabilityYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

QualityYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Recruitment & Personnel Yes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Disciplinary & Grievance Yes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Complaints & HarassmentYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

Information SecurityYes FORMCHECKBOX

No FORMCHECKBOX

Date Last updated:

9.3 Please provide a brief overview of your quality assurance and improvement processes. (max 500 words)

9.4 Fraud Prevention: Please indicate that your organisation has the following systems on place to ensure

compliance with the four principles of fraud prevention

An established system to enable contractor staff to report inappropriate behaviour by colleagues In respect of performance claims i.e. a whistleblowers charterYes FORMCHECKBOX No FORMCHECKBOX

A performance management system within the organisation that does not generate perverse incentives among individual employees to falsely claim performance achievementYes FORMCHECKBOX No FORMCHECKBOX

A segregation of duties within the contractors operation between those achieving performance and those reporting it to DWPYes FORMCHECKBOX No FORMCHECKBOX

An audit regime in place that provides for periodic check of the effectiveness of thePerformance reporting regimeYes FORMCHECKBOX No FORMCHECKBOX

Does your organisation have an established Business Code of Ethics

Yes FORMCHECKBOX No FORMCHECKBOX

9.5 Equal Opportunities

Is it the companys policy as an employer to comply with statutory obligations under the UK Equalities Legislation/Yes FORMCHECKBOX No FORMCHECKBOX

Are all staff who have responsibilities within the recruitment process required to receive equality training?Yes FORMCHECKBOX No FORMCHECKBOX

Are all staff who have responsibilities for service delivery required to receive equality training?Yes FORMCHECKBOX No FORMCHECKBOX

In the last 3 years have any findings of unlawful discrimination been made against the company?Yes FORMCHECKBOX No FORMCHECKBOX

9.6 Health and Safety

Do you have a Health and Safety Policy?

If yes, please state when this policy was last updatedYes FORMCHECKBOX No FORMCHECKBOX

Do you have a Health and Safety Manager and arrangements in place to put the policy into practice?Yes FORMCHECKBOX No FORMCHECKBOX

Are appropriate procedures in place to deal with any accidents and emergenciesYes FORMCHECKBOX No FORMCHECKBOX

Do you carry out regular risk assessments? If yes, please state frequencyYes FORMCHECKBOX No FORMCHECKBOX

9.7 Information Security

Do you have an Information Security Policy that applies to staff and stakeholders?Yes FORMCHECKBOX No FORMCHECKBOX

Do you undertake BPSS checks on staff?Yes FORMCHECKBOX No FORMCHECKBOX

Do you actively record and monitor Information Security related incidents?Yes FORMCHECKBOX No FORMCHECKBOX

9.8 Environmental Management

Do you have an Environmental Policy in place?Yes FORMCHECKBOX No FORMCHECKBOX

Do you set Environmental Management objectives and targets for your organisation?Yes FORMCHECKBOX No FORMCHECKBOX

Do you identify and regularly evaluate compliance with all applicable legislation? Yes FORMCHECKBOX No FORMCHECKBOX

9.9 TUPE

In the event of the Transfer of Undertakings (Protection of Employment) Regulations 1981

(TUPE) applying to any future contract opportunity, would you still consider responding to the Invitation to TenderYes FORMCHECKBOX No FORMCHECKBOX

Does your organisation have any experience of handling TUPE transfers?Yes FORMCHECKBOX No FORMCHECKBOX

Does your organisation hold current Government Actuarys Department Certificates of Broad Comparability? Yes FORMCHECKBOX No FORMCHECKBOX

Do you confirm that you understand and will comply with the obligations outlined in the Code of Practice on Workforce Matters in Public Sector Service Contract?Yes FORMCHECKBOX No FORMCHECKBOX

9.10 Legal Declaration

Has a receiving or administrative order or winding up order been made against the organisation or an individual or has a winding up order been passed or a receiver, manager, administrator equivalent been appointed? Yes FORMCHECKBOX No FORMCHECKBOX

Has any of the directors or senior managers of the organisation been found guilty of Fraud, been

involved in any company which has had a winding up order or had an administrator appointed, or been disqualified from being a director? Yes FORMCHECKBOX No FORMCHECKBOX

Are there any legal proceedings, including bankruptcy or winding up petitions in progress that might affect the performance of contract obligations and has the organisation been prosecuted under EU or national law in the last three years? Yes FORMCHECKBOX No FORMCHECKBOX

Has the organisation ever failed to fulfil any obligations regarding payment of Social Security obligations, payment of UK takes, possession of a licence or membership of an organisation where the law of the State required it Yes FORMCHECKBOX No FORMCHECKBOX

9.11 Please include any additional information that you feel would add value to your application that is not covered elsewhere e.g. innovations, key strengths etc. (max 300 words).

10. Partner Financial DataIn order to minimise the level of paperwork at this stage, please provide the headline financial information requested below.

Please note that should you be selected and Seetec is successful in this tender opportunity you will be required to provide further financial information in order for Seetec to carry out due diligence procedures. As a minimum, you should expect to provide a full set of accounts for the past 3 years.

Contracting Organisation:

Group/Holding Company (where applicable)

Status:

Company/Charity Number:

Previous Years

AccountsLast Years

AccountsCurrent Years

Estimated

Audited accounts

Year to (31/12/2010)

Actual 000Forecast 000Forecast 000

Turnover/Income

Operating expenses

Net profit/surplus for the year

Breakdown of Turnover:

Private sector%

Public sector %

Breakdown of public sector turnover

SFA turnover

DWP turnover

Other %

Staffing:

Staffing levels - Management

Staffing levels operational

Staffing levels administration

Staffing levels total

Please add any explanatory notes you feel are important

11. DeclarationI confirm on behalf of my organisation that I am authorised to agree this declaration and to the best of my knowledge all of the answers detailed in sections 1 to 11 of this application form are true and accurate.

Name: Job Title: Organisation: Date:

Please save your Expression of Interest form as Supply Chain Framework by email to bizdev@seetec.co.uk

Should you require assistance completing this form or have any questions please contact

Peter Walkerley or Anthony Scarfe in our Business Development team on

0845 33 06 573.Thank you for your interest in working with SeetecSeetecSeetec Stage 1 Expression of Interest10.4.2014

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