Supplier Registration - Turner Iceni Ltd

Supplier / Contractor Registration

Company Details
Company Name *
Company Address *
Email Address *
example@example.com
VAT Number
Company Registration Number
Organisation type
Partnership Limited Company Sole Trader Other
Please provide details of associated or parent companies, including holding companies
Scope of services provided

Bank Details & Terms
Credit Terms
7 Days 14 Days 30 Days 60 Days Other
Bank Name
Bank Branch
Account Name
Account Number
Sort Code

Insurance
Employers Liability Cover Amount
Employers Liability Expiry Date
Attach copy of Employers Liability Certificate

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Contractors All Risks Cover Amount
Contractors All Risks Expiry Date
Attach copy of Contractors All Risks Certificate

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Professional Indemnity Cover Amount
Professional Indemnity Expiry Date
Attach copy of Professional Indemnity Certificate

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Public Liability Cover Amount
Public Liability Expiry Date
Attach copy of Public Liability Certificate

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Professional & Trade Organisations
Provide details of any association, professional or trade organisations your company are a member of
Upload any relevant certificates

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Quality
Does your company hold a ISO 9001 certification?
Who is your organisations nominated Quality Manager/Representative?
ISO 9001 Certificate

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Health & Safety
Does your company hold a ISO 45001 certification?
ISO 45001 Certificate

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Who is your organisations nominated Health & Safety Representative?
Number of HSE enforcement notices / prosecutions issued to your organisation in the last 3 years? (Provide details)
Provide details of any RIDDOR reportable incidents the past three years
What are your responsibilities, if any, under CDM?

Environmental
Does your company hold a ISO 14001 certification?
ISO 14001 Certificate

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Who is your organisations nominated Environmental Representative?
Number of environmental enforcement notices / prosecutions issued to your organisation in the last 3 years? (Provide details)
If your company is involved in the removal and disposal of waste materials do you hold the necessary valid licenses ?
Waste Licenses

Cancel of

Corporate Sustainability / Modern Slavery
Does your organisation subscribe to Corporate Sustainability principles?
What are your responsibilities, if any, under the Modern Slavery Act

Confirmation Statement

Confirmation Statement *

	Confirmed	Do Not Agree
I/We confirm that the information supplied is accurate to the best of my/our knowledge.
I/We understand that false information could result in exclusion from the list of approved suppliers/contractors
I/We confirm that the employees we provide are trained & competent to carry out the works being undertaken.

Please note that the completion of this form does not signify approval of your Company and that it may be necessary for us to request further information and/or carry out an assessment visit in due course. *
Understood Further Information Requested
Completed By *
Signature

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