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Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01

Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 1 of 8

Name of Alumet Contact: Andrew Arnott

Name of Alumet Project you will Smithfield / Hornsey Depot


be working on:

1. Company Details
Company Name Anglorum Facades Ltd.

Trading Name Anglorum

Parent Company
Name
Company Reg No. 10043758

Address

421 Pinner Road, Harrow, HA1 4HN

Telephone 07423 822 971


Number
Fax Number

Email Address Cristian.balciza@anglorumfacades.com

Website www.anglorumfacades.com

Scope of works Installation of Windows, Doors, Metsec, Rainscreen Cladding,


undertaken Rooflights, Curtain Walling

Number of Direct 3 Sub-Contract 100


Employees

Maximum Contract 2,000,000 Minimum Contract 50,000


Value Value
Please provide last 3 years turnover:

Year m Year m Year m


2014 300k 2015 600K 2016 1.6Mil
Managing Cristian Balciza
Director
Commercial Cristian Balciza

Contracts Cristian Balciza

Finance Cristian Balciza

Health & Safety Cristian Balciza


Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 2 of 8

10

4
5
6

8 7
9

Please tick preferred geographical areas for work:

1 Scotland 6 Wales

2 North East 7 London & South East x

3 North West 8 South x

4 Midlands 9 South West x

5 East Anglia 10 Ireland


Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 3 of 8

2. Bank & Tax Details


Unique Tax Number (UTR) Number: 86109 20127
(please supply copy of card for proof of ID)
NI Number:

Vat Registration No: 236 1962 03


(Please supply copy of VAT certificate)

Bank Account Number: 53397327

Sort Code: 20 37 21

Account Name: Anglorum Facades

Bank Name: BarclaysQBE

3. Insurance Details
Please provide your insurance details We require the minimum cover of
5m Public Liability cover
10m Employers Liability

Please provide copies of your insurance certificates / policy details to be returned with
this questionnaire

FAILURE TO PROVIDE THE CORRECT INSURANCE INFORMATION MAY DELAY INVOICE


PAYMENTS. IT IS IMPORTANT THAT WE HAVE THIS INFORMATION SUBMITTED.

Insurance Insurers Name Policy Number Limit Expiry Date Attached


Cover (Y/N)
Public QBE Insurance Y010492QBE0116A 5mil 17/11/17 Y
Liability LTD / MLC / 12240

Employers QBE Insurance Y010492QBE0116A 10MIL 17/11/17 y


Liability LTD / MLC / 12240

Contractors
All Risk

Professional
Indemnity
Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 4 of 8

3. Experience & References


Details of Past Work Undertaken for Alumet Systems

Contract Kew Bridge


Description Installation of Velfac Windows, doors, Rainscreen Cladding and
Metsec

Date completed 21/11/2016


Value 300k

Contract Riverlight
Description Installation of CW, Rainscreen Cladding and windows

Date completed 03/2016


Value 200K

Please provide 2 references:

Name Jason Millar

Position Project Manager

Company Stanta

Contact Details 07912 646 770

Name Dave Swan

Position Director

Company Glass Tech Fixings

Contact Details 07983 705 545


Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 5 of 8

4. Health & Safety Prequalification Questionnaire


Yes/ Details / Comment RR Use
Only
No
1. Are you accredited to any no
prequalification certification
scheme ie CHAS, Safe
Contractor, Achilles Building
Confidence? If Yes, please
provide certificate and go to
Question 10
2. Do you have a written Health & yes
Safety Policy?
If yes, please provide a copy?
How is this drawn to the attention
of your employees?

3. Do you have a Director in Yes Cristian Balciza


charge of Safety?
If yes, please provide name

4. Do you employ or have access yes


to a Safety Advisor?
If yes, Please provide name and
contact number
If no, how is safety advice obtained?

5. Do you undertake job specific yes


method statements and risk
assessments?
Please provide a copy.

How is this information passed to


the relevant employees?

6. Do you assess employees yes


exposure to occupational health
risks?
If yes please provide a copy of an
assessment.

7. Do you undertake health yes Subcontractors sent to do Safe to work Checks


surveillance on employees? If yes
what is undertaken?

8. Do you have access to an no


Occupational Health Provider? If
yes, please give details.

9. How do you manage Subcontractors sent to do Safe to work Checks


occupational health risks for any
sub-contractors you use?
Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 6 of 8

Yes/ Details / Comment RR Use


Only
No
10. Have any enforcement notices no
been issued to your company in
the last 3 years?
If yes, please provide details
11. Have you ever been no
prosecuted by the HSE?
If, yes please provide details.
12. Do you have a written no
procedure for the reporting of
accidents?
If yes, please provide a copy

13. Please provide Accident / Incident Statistics for past 3 years


Year

Subcontractors /
RR Use Only
3- Day / (7 Day)

No. Employees

No. Man Hours


self employed
Occurrence
Dangerous

Worked*
Diseases
Fatality

Major

No.
AIR AFR

This Year

Last Year

Year
Before
* = No. of employees x no of hours worked per day x no. of days worked in year

Yes/ Details / Comment RR Use


Only
No
14. Have your Site yes CSCS test, NVQ level 2 for fenestration,
Supervisors / operatives SMSTS, SSSTS, First aid, Fire marshal,
been trained in Health &
Safety?
If yes, please give details of
courses undertaken
15. What % of your site 100
operatives hold CSCS cards? %
Please provide examples
16. Are your plant operators yes IPAF, Pasma, Slinger
trained to the standard
accepted by the UK
Contractors Group ie IPAF,
PASMA, CPCS?
Please provide examples of
current training certification.
17. Will all plant and yes
equipment hold valid test
certification?

18. Will your site operatives yes


be issued with the correct
PPE to undertake their job?
If no, how do you fulfil your
statutory requirements?
Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 7 of 8

Yes/ Details / Comment RR Use


Only
No
19 Do you use sub- yes
contractors?
If Yes how do you ensure their
competency?

20. How do you manage your Thru SMSTS managers appointed by Anglorum
subcontractors whilst on
site?

21. Do you employ young no


persons on site (18 and
under)?
If yes, please provide any
specific risk assessments for
them?

22. Do you employ non- no


English speaking
operatives?

23. If yes, how do you


communicate information to
them
4.2 Quality
Yes/ Details / Comment RR Use
Only
No
24. Do you operate Quality yes
Management System in your
Company?

25. If yes, are you ISO9001 no


registered? If yes, please
provide a copy of your
certificate.

26. If no, are you working yes


towards qualification to
ISO9001?

27. If you dont have a system


how do you manage quality
issues?
Rainscreen Prequalification Sub-Contractor Ref: RR-SD-01
Date: Sept 14
Resources Ltd
Questionnaire Revision: 0
(Labour only) Page 8 of 8

5. Documentation checklist
VAT Certificate x Copy of UTR Card x
Insurance Details x Accident Procedure
Prequalification Certificate ie CHAS Examples of CSCS cards. x
Health & Safety Policy x Examples of training certificates x
Example Method Statement/ Risk x Young Persons Risk Assessment
Assessment
Occupational Health Assessment ISO 19001 Certificate

Signed Date 01/12/2016

Print Name Cristian Balciza PositionDirector

Please return by email to: newsubcontractor@alumet.co.uk

Alternatively please post to: Mrs. F. Eatough


Health & Safety Manager
Alumet Group
Senator House
Bourne End
Kineton Road Industrial Estate
Southam CV47 0NA

If you have any queries relating to this questionnaire please contact Frances Eatough on
01926 811677 or by email francese@alumet.co.uk