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Section 1 - General Details

1a - Applicant Details

Date of Application

Name of Applicant

Position / Job Title

Email Address

Contact Telephone Number

1b - Company Details

Trading Name of Business

Legal Name of Business

Group Name (If Applicable)

Main Trading Address

Registered Address (If Applicable)

Main Telephone Number

Email Address

Web Address

Company Registration Number

VAT Number

NOTE: Does your business operate out of more than 1 location, if so please provide details on headed paper and submit with your application.

1c - Workforce

How many members of staff are directly employed by your business?

Do you use sub-contractors to carry out any works on your behalf?

How many contractors do you use on a labour only basis?

If you use sub-contractors, do you have a system to assess their competency?

Do you check that your workforce have the right to work in the UK?

Do you vet your workforce in regards to any criminal history?

NOTE: Please provide evidence of the system you use to assess your contractors competency.

Section 2 - Insurances

2a - Public Liability Insurance

Does your company hold this type of policy?

Insurance Provider

Policy Number / Reference

Level of Cover

Expiry Date

2b - Employers Liability Insurance

Does your company hold this type of policy?

Insurance Provider

Policy Number / Reference

Level of Cover

Expiry Date

2c - Public Indemnity Insurance

Does your company hold this type of policy?

Insurance Provider

Policy Number / Reference

Level of Cover

Expiry Date

2d - Product Liability Insurance

Does your company hold this type of policy?

Insurance Provider

Policy Number / Reference

Level of Cover

Expiry Date

NOTE: Please provide evidence of your current insurance policies

Section 3 - Financial Information

3a - Turnover

Please provide your financial information for the last three (completed) years

Financial Year 1

Turnover Year 1

Financial Year 2

Turnover Year 2

Financial Year 3

Turnover Year 3

3b - Funding Capacity

What is the minium project value that your business would tender?

What is the maximum project value that your business would tender?

Does your business use factoring facilities to fund cashflow?

Section 4 - Health & Safety

4a - Health & Safety Policy

Does your company have a health & safety policy?

What is the most recent review date of your policy?

4b - Occupational Health Checks

Does your business provide free health checks for employees & contractors?

If yes, how often are they are they provided?

4c - Health & Safety Advice

Who does your business use for competent health & safety advice?

What is their level of qualification?

Please provide a contact phone number for them

Please provide a valid email address for them

4d - Health & Safety Communications

How does your company communicate any health and safety issues or advice to your employee's or contractors?

Does your business provide site specific RAMS?

NOTE: If you have answered yes to the above please provide details

4e - Accidents & Notices (Exempt If SSIP Accreditation Held)

Have you ever had any notifiable accidents in the last three years?

Have you been served any Enforcing Prohibition Notices / Improvement Notices, etc. or been prosecuted as a result of health, safety or environmental breaches?

NOTE: If you have answered yes to any of the above please provide details

Does your business ensure compliance when and monitor health and safety, recording activity such as…

Section 6 - Services

6a - On Site Services

Does your business provide on site services?

If you do provide your services on site, please provide a list below seperated by a comma's…

6b - In House Services

Does your business provide in house services?

If you do provide your services in house, please provide a list below seperated by a comma's…

Section 7 - Competence & Quality

7a - Competence

Does your business have the ability to provide site survey’s, produce reports and specify work procedures?

Does your business have a Quality Management System in place that allows for auditing or reporting on current & historical projects?

Does your business provide applicator guarantees on all projects?

Does your company utilise a Business Management System?

Who is responsible within your business for quality control, please provide names and contact details.

7b - Management & Quality Accreditations

Does your business hold any management & quality accreditations?

If you have answered yes to the question above, please provide details of any accreditations held…

NOTE: Please provide certification of any accreditations held

7c - Project Reference 1

Please provide reference details to which we can verify your workmanship and compliance

Project Name / Reference

Completion Date

Brief Scope Of Works

Project / Site Address

Project Value

Client Company

Reference Contact & E-mail Address

7d - Project Reference 2

Please provide reference details to which we can verify your workmanship and compliance

Project Name / Reference

Completion Date

Brief Scope Of Works

Project / Site Address

Project Value

Client Company

Reference Contact & E-mail Address

Section 8 - Environmental

Does your business hold a current up to date environmental policy?

Does your business hold a current waste carrier license?

Do you or your company monitor and record VOC levels?

How does your business currently dispose of any hazardous waste?

How does your business consider / eveluate any environmental issues and risks prior to any projects?

What are the biggest risks and impacts that your business has on the environment?

Does your business hold any environmental accreditations or hold membership of any associated schemes? If so please list them below…

Section 9 - Declaration

I declare that the information provided is correct at the time of signing the declaration.

I confirm that any significant changes to the information provided will be communicated to VeriTrade as soon as practicable. I confirm that we will cease works if any changes to our position means we cannot carry out works in accordance with Statutory or VeriTrade’s minimum requirements.

Agreement:

By signing this document with an electronic signature, I agree that my electronic signature is the legally binding equivalent to my handwritten signature.

Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.

General Data Protection Regulation (GDPR) controls how your personal information is used by VeriTrade

Everyone responsible for using data has to follow strict rules called ‘data protection principles’. They must make sure the information is:

Used fairly and lawfully
Used for limited, specifically stated purposes
Used in a way that is adequate, relevant and not excessive accurate
Kept for no longer than is absolutely necessary
Handled according to people’s data protection rights
Kept safe and secure
Not transferred outside the UK without adequate protection

Accept Declaration

Full Name

Position

Date

Signature

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Contractors - Sign Up

Section 1 - General Details

1a - Applicant Details

1b - Company Details

1c - Workforce

Section 2 - Insurances

2a - Public Liability Insurance

2b - Employers Liability Insurance

2c - Public Indemnity Insurance

2d - Product Liability Insurance

Section 3 - Financial Information

3a - Turnover

3b - Funding Capacity

Section 4 - Health & Safety

4a - Health & Safety Policy

4b - Occupational Health Checks

4c - Health & Safety Advice

4d - Health & Safety Communications

4e - Accidents & Notices (Exempt If SSIP Accreditation Held)

Section 5 - Training & Qualification

5a - Training Matrix & Records

5b - Business Accreditations & Associations

5c - Operative & Contractor Training

Section 6 - Services

6a - On Site Services

6b - In House Services

Section 7 - Competence & Quality

7a - Competence

7b - Management & Quality Accreditations

7c - Project Reference 1

7d - Project Reference 2

Section 8 - Environmental

Section 9 - Declaration

Agreement: