Approved Supplier and Contractor Scheme

Please complete and return the form below, together with supporting documents to: admin@bewdleytowncouncil.org

Name:

Position held:

Company name:

Company address:

Telephone Number:

Email Address:

Please indicate check against category of products/services your company provide
Office suppliesOffice furnitureJanitorial suppliesInformation Technology Services (Hardware, Computers, Printers, Telephony)Software SupportGeneral Building MaintenanceElectrical ServicesPortable Appliance TestingGlazingFire Safety (including fire alarms, fire door checks/maintenance, fire extinguisher supply/maintenance)Intruder AlarmsLift Servicing & MaintenancePlumbingHeating ServicesDecoratingCarpentry/JoineryDrainageStatues/War Memorial MaintenanceBus Shelter Cleaning/MaintenanceFlower bed/garden maintenancePest ControlFlood Clean up (e.g.,parks play equipment/pathways)Lifebuoy maintenance/suppliesOther (please detail below)

Where the nature of the service provided lends itself to an hourly based prospective please provide details below for each relevant category indicated above:
hourly ratecall-out chargeout of hours charge/hourly rateTravelling time costs (if applied)Anticipated response time

Please provide details of membership of Regulatory Bodies, relevant accreditation’s/certificates held:

References
Please provide two references where your company have supplied goods/carried out works within the last 2 years relating to one or more of the categories listed above.

Reference 1
Contact Name:

Position Held:

Company Name:

Telephone No:

Email Address:

Brief description of goods supplied/works carried out:

Reference 2
Contact Name:

Position Held:

Company Name:

Telephone No:

Email Address:

Brief description of goods supplied/works carried out:

Please provide in the space below any other information that you feel would support your application:

Supporting Documents

• Please provide a copy of your company’s current Health & Safety Policy Statement

• Please provide evidence of your current Public Liability Insurance

• For the provision of contractual services please provide a copy of a sample risk assessment (if applicable)

• For the provision of contractual services please provide a copy of a sample method statement (if applicable)

By filling out this form you understand that Bewdley Town Council will store and use your details to allow us to respond and progress your query. You have read and agree to how we handle your data as outlined in our Privacy Policy.