NEW PROCUREMENT PARTNER - INITIAL ASSESSMENT - STAGE 1
COMPANY PROFILE
Trading Name
Company Name
Regions qualified to operate in
Please Select
Bahrain
Kuwait
Oman
Qatar
Saudi Arabia
UAE
Contract / Project name (If applicable)
Type of Ownership
Please Select
Government owned
Joint Venture
Privately owned
Publicly traded
Wholly - owned subsidiary
Sponsor Name
Company Website
P.O Box
Company Street Address
Post Box
City
Country
Please Select
Bahrain
Kuwait
Oman
Qatar
Saudi Arabia
UAE
Company Organisational Structure
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Company Marketing Brochure
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LICENCES AND CERTIFICATES
To work with Serco the following are mandatory requirements. Do you currently hold: (If you select "Yes" for any of the following, please attach relevant certificate at the "attachments" section of the questionnaire)
Yes
No
Trade Licence
Workers Compensation Insurance
Public Liability Insurance
Comments
Depending on the Services being provided some of the following are mandatory requirements. Do you currently hold any (If you select "Yes" for any of the following, please attach relevant certificate at the "attachments" section of the questionnaire)
Yes
No
All Risks Insurance
Professional Indemnity Insurance
Motor Vehicle Insurance
Comments
ATTACHMENTS - If you are qualified to operate in two or more Regions, Please attach all relevant licences
Trade Licence
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Workers Comp Insurance
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Public Liability Insurance
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All risks Insurance
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Professional Indemnity Insurance
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Motor Vehicle Insurance
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COMPLIANCE SYSTEMS
Do you currently hold any of the following: (If you select "Yes" for any of the following, please attach relevant certificate at the "attachments" section of the questionnaire)
Yes
No
N/A
Health & Safety management system
Quality Management System
Environmental Management System
Business Continuity Plan
Emergency Response Plan/s
Comments
ATTACHMENTS - If you are qualified to operate in two or more Regions, Please attach all relevant licences
H&S Management System
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Quality Management System
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Environmental Management System
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Business Continuity plan
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Emergency response plan/s
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GOVERNANCE & ETHICS
Compliance with the following is mandatory. If you become a Serco approved Procurement Partner will you abide by the following:
Yes
No
Serco Code of Conduct
Serco Ethical Procurement Policy
Serco Environmental policy
If you have ever provided products or services to Serco (or any of it's entities) and have had a contract ceased for any other reason than completion of term, please provide details, including Entity, Product / Service, Project, Year, reason etc.
Additional Comments
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SERVICES PROVIDED
Type of Steakholder
Please Select
Sub Contractor (direct case management)
Specialist support provider
Please provide a brief description of the list each main service you provide, outline your delivery experience on each Service (Max 300 words for each)
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COMPLETED BY: (Only authorised people can Submit this form)
Contact Name
Position
Email
Phone number
Authorised signatory
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