ࡱ> y 3bjbjEE N'';;;;;4oooh,o{.      K"P ; ;;5...d;;....nm=o. K0{."".";..  {" :   Form of Tender For Private Sector Stock Conditions Survey Check List of Documentation to be returned with the Form of Tender: DocumentAttachedForm of Tender / Certificate of Non-CollusionPrinted Pricing Schedule and Collection Page An Electronic copy will requested after opening of the tenders.Method StatementStatus Enquiry Form Date: May 2013 Contract Ref. PROC032/SDDC To: Chief Executive, South Derbyshire District Council, 1. I/We, the undersigned, hereby offer and agree to carry out and complete all the services which are within the scope of and in accordance with the specification within the tender documents; for the total sum of;    2. I/We understand that by the very nature of the services, no guarantee can be given with regard to the volume, trade requirement, value, duration, category nor continuity of the services. 3. This tender is exclusive of V.A.T., which will be recoverable from the Employer in accordance with the V.A.T. liability of the Contractor. 4. I/We agree that, unless specifically withdrawn in writing, this tender will remain open for acceptance for a period of 180 days from the closing date set for receipt of tenders as set out in the Invitation to Tender. 5. The Employer reminds all tenderers that he is not bound to accept the lowest or any tender and will not be liable for, nor be required to pay any costs, charges, expenses or losses that may be incurred by any tenderer in the preparation of their tender. 6. I/We have satisfied myself/ourselves as to the accuracy and sufficiency of our tendered rates and confirm that they (except in so far as it is otherwise provided for in the Contract) cover all my/our obligations, liabilities, risks, contingencies and other matters in connection with undertaking the services in accordance with the Contract. 7. I/We agree that should any obvious errors in pricing or errors in arithmetic be discovered before acceptance of this offer, these errors will be corrected or the tender withdrawn. This tender is submitted by: Signed: Name: Position: Firm or Company: Address: Telephone No:E-mail address:Date: The essence of tendering is that the Council shall receive bona fide competitive tenders from all firms tendering. In recognition of this principle, I/we certify that this is a bona fide tender, intended to be competitive, and that I/we have not fixed or adjusted the amount of the tender by or under or in accordance with any agreement or arrangement with any other person. I/We also certify that I/we have not done and I/we undertake that I/we will not do at any time before the returnable date for this tender any of the following acts: .1 communicate to a person other than the person calling for these tenders the amount, or approximate amount of the proposed tender; .2 enter into any agreement or arrangement with any other person that he shall refrain from tendering or as to the amount of any tender to be submitted; .3 offer or pay or give or agree to pay or give any sum or money or valuable consideration directly or indirectly to any person for doing or having done or causing or having caused to be done in relation to any other tender or proposed tender for the work any act or things of the sort described above. In this certificate, the word 'person includes any persons and any body or association, corporate or unincorporated; and "any agreement or arrangement" includes any such transaction, formal or informal, and whether legally binding or not. CONFLICT OF INTEREST STATEMENT The Council requires Tenderers to answer the following questions: 1. Has any Director, Partner or Associate been an employee of the Council within the last five years? YES/NO (if yes please give details) 2. Please state if any Director, Partner or Associate has a relative(s) who is an employee of the Council at a senior level or is a Councillor, Board, Committee, or Panel Member of the Employer. YES/NO (if yes please give details) 3. Please state if any Directors, Partners or Associates of your firm have any involvement in other firms who provide or have provided services to the Council. YES/NO (if yes please give details) 4. Is any Director, Partner or Associate an existing tenant or leaseholder of the Council (if so please give details) YES/NO (if yes please give details) Note: A relative is defined as a persons spouse, parent, grandparent, child, grandchild (including illegitimate children and grandchildren) brother and sister. Technically the term relative does not include any relationship that is not by blood or marriage, however, if considered close the same criteria should apply. 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