Suppliers & Contractors Form

Please complete and return the form below, together with supporting documents to: admin@bewdleytowncouncil.gov.uk

Name:

Position held:

Company name:

Company address:

Telephone Number:

Email Address:

Please indicate check against category of products/services your company provide
Office suppliesOffice furnitureJanitorial suppliesInformation Technology Services (Hardware, Computers, Printers, Telephony)Software SupportGeneral Building MaintenanceElectrical ServicesPortable Appliance TestingGlazingFire Safety (including fire alarms, fire door checks/maintenance, fire extinguisher supply/maintenance)Intruder AlarmsLift Servicing & MaintenancePlumbingHeating ServicesDecoratingCarpentry/JoineryDrainageStatues/War Memorial MaintenanceBus Shelter Cleaning/MaintenanceFlower bed/garden maintenancePest ControlFlood Clean up (e.g.,parks play equipment/pathways)Lifebuoy maintenance/suppliesOther (please detail below)

Where the nature of the service provided lends itself to an hourly based prospective please provide details below for each relevant category indicated above:
hourly ratecall-out chargeout of hours charge/hourly rateTravelling time costs (if applied)Anticipated response time

Please provide details of membership of Regulatory Bodies, relevant accreditation’s/certificates held:

References
Please provide two references where your company have supplied goods/carried out works within the last 2 years relating to one or more of the categories listed above.

Reference 1
Contact Name:

Position Held:

Company Name:

Telephone No:

Email Address:

Brief description of goods supplied/works carried out:

Reference 2
Contact Name:

Position Held:

Company Name:

Telephone No:

Email Address:

Brief description of goods supplied/works carried out:

Please provide in the space below any other information that you feel would support your application:

Supporting Documents

• Please provide a copy of your company’s current Health & Safety Policy Statement

• Please provide evidence of your current Public Liability Insurance

• For the provision of contractual services please provide a copy of a sample risk assessment (if applicable)

• For the provision of contractual services please provide a copy of a sample method statement (if applicable)

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