Greentown Subcontractor Questionnaire

Subcontractor Questionnaire

SECTION 1 - ACCOUNT TYPE
Please indicate how you wish to trade with Greentown Co: 
Supply only of materials / goods 
Please complete Section 1 – 5 & 9
Yes
No
Please choose an answer
Please complete Section 1 – 5 & 9
Supply of services within Greentown Co: 
Please complete Section 1 – 6 & 8-9
Yes
No
Please choose an answer
Please complete Section 1 – 6 & 8-9
Subcontractors (Bona Fide / labour only) 
Please complete Section 1-9
Yes
No
Please choose an answer
Please complete Section 1-9

SECTION 2 - GENERAL INFORMATION
Company Name:
This question is required
Address:
Street*
City/Suburb
State*
Zip/Post Code*
Country*
This question is required
Registered office:
(If different from above)
Street
City/Suburb
State
Zip/Post Code
Country
(If different from above)
Accounts Dept. Email:
Please enter a valid email
Email for remittances
(If different from above)
(If different from above)
Telephone No:
This question is required
VAT No:
(If applicable)
(If applicable)
Currency:
GBP £
EUR €
This question is required
Company type:
Sole Trader
Partnership
Limited Company
This question is required

SECTION 3 - FINANCIAL DETAILS
Essential verification is required in the form of an official banking document. You must provide one of the following showing company name, sort code and account number:
•	Top part of bank statement 
•	Letter outlining bank details
(Please Attach)
Choose a file
(Please Attach)
Account renewal- if you are a current supplier/subcontractor and your bank details have not changed in the past 6 months, you do not need to provide the above.
(Please tick to confirm that your details have not changed)
Details have not changed
(Please tick to confirm that your details have not changed)
SECTION 4 - ENVIRONMENTAL
Do you have an Environmental Management System?
Yes
No
Please choose an answer
If Yes, is it certified to ISO 14001, EMAS or other?
ISO 14001
EMAS
Other
If Yes, please provide a copy of the certificate.
Choose a file
If No, are you willing to work within our Environmental Management System?
Yes
No
Please choose an answer

SECTION 5 - QUALITY
Does your company hold a Quality Assurance certification to BS EN ISO 9001 or equivalent?
Yes
No
Please choose an answer
If yes, please attach a copy of the relevant certificate.
Choose a file
If no, does your company have a written quality Management Policy?
Yes
No
Do you keep quality records / offer certificates of conformity / test results?
Yes
No
If No, are you willing to work within our Quality System?
Yes
No

SECTION 6 – HEALTH & SAFETY
Do you hold formal OH&S accreditations? (e.g. ISO45001, OHSAS18001)
Yes
No
If yes, please provide a copy of the certificate.
Choose a file
If not, do you have a documented in-house occupational Health & Safety system?
Yes
No
If no, are you willing to work within our Health & Safety Management system?
Yes
No
Do you set objectives and targets for improvement in your Health & Safety standards?
Yes
No
Please choose an answer
Accidents/Incidents
Please provide details of your accident/incident records and any enforcement actions for the last 3 years.
Number of Fatal Injury Incidents
Please provide year and figure.
Please provide year and figure.
Number of Major Injury Incidents
Please provide year and figure.
Please provide year and figure.
Number of lost time Incidents 
Please provide year and figure.
Please provide year and figure.
Number of Improvement / Enforcement Notices by HSE/HSENI
Please provide year and figure.
Please provide year and figure.
SECTION 7 –  SUBCONTRACTOR COMPLIANCE
Company Reg No (if applicable):
National Insurance No. (if applicable):
If partnership, provide NI No. for partners.
Constructionline Reg. No 
(if applicable):
UTR No (if applicable):
If partnership, please provide UTR’s for partners and company
Please provide evidence of VAT submissions for the last quarter.
Choose a file
Please provide evidence of CIS submissions for the last quarter. 
Choose a file
Please provide evidence of PAYE submissions for the last quarter.
Choose a file
Alternatively, please provide a signed letter from your accountant on their company letterhead, stating all tax returns are up to date.
Choose a file
Provide names of directors, partners or sole proprietors registered to this business:


SECTION 8 – INSURANCES
Please note, NO payments will be made unless we hold updated information. 
Do you have employers’ liability insurance?
Yes
No
Do you have public / product liability insurance?
Yes
No
Do you have professional Indemnity insurance?
Yes
No
Please provide either a copy of each certificate or a letter from your broker outlining insurances held which clearly shows company name, policy number, renewal and expiry dates, limit of indemnity and policy excess.
Choose a file
Please provide details of Excesses / Inner Limits / Special Conditions / Deductibles, Restrictive Endorsements / Exclusions, Conditions and Warranties

SECTION 9 – DECLARATION
This form must be signed by a director, owner, or authorised individual:
Name
This question is required
Signature
Sign here
This question is required
Position
This question is required
On behalf of:
(company name)
This question is required
Date
/
/
Please enter a valid date
Submit
PLEASE NOTE
Should you need to send additional information regarding this questionnaire, please send all correspondence to: compliance@greentownco.com

Please send all invoices and statements for Greentown Environmental Ltd. to Info@greentownco.com

Please send all invoices and statements for Greentown Traffic Management Ltd. to Info-tm@greentownco.com

A statement of account is required to enable payment.

Thank you