ITT submission
Energy Systems Catapult
[Contract name]
Strictly Private and Confidential
Bidder Details
Company Name
Contact Name
Contact Email Address
Address to send your submission
Your ITT must be received at the email address below by no later than the submission deadline.
Energy Systems Catapult
[email protected]
Ensure that your submission accords with all of the requirements set out in this ITT.
Your company logo (optional)
Section A
Candidate Information
Please answer the following questions in full.
Please note that every organisation that is being relied on to meet the requirements of this procurement
exercise must complete and submit the Section A self-declaration.
All personal information supplied within this due diligence questionnaire will be treated as confidential and will be
subject to the Data Protection Act.
Part 1 – Tenderer Information
Question
1.1 (a)
Response
Full name of the Tenderer submitting the
information
(i) Registered office address
(if applicable)
1.1 (b)
(ii) Registered website address
(if applicable)
a) Public Limited company
b) Limited company
c) Limited liability partnership
Trading Status
d) Other partnership
(Please mark “X” in the relevant box)
e) Sole trader
1.1 (c)
f)
Third sector
g) Other
(please specify your trading status)
1.1 (d)
Date of registration in country of origin
1.1 (e)
Company Registration number (if applicable)
1.1 (f)
Charity Registration number (if applicable)
1.1 (g)
Dun and Bradstreet (D.U.N.S) number of head
office (if applicable)
1.1 (h)
Registered VAT number
1.1 (i)
(i) If applicable, is your organisation registered with the appropriate professional or
trade register(s) in the member state where it is established?
Yes
No
N/A
(ii) If you responded “Yes” to (i) above,
please provide relevant details,
including the registration number.
Question
Response
(i) Is it a legal requirement in the state where you are established for you to possess
a particular authorisation, or to be a member of a particular organisation in
order to provide the services specified in this procurement?
1.1 (j)
1.1 (k)
No
(ii) If you responded “Yes” to (i) above,
please provide additional details of what
is required and confirmation that you
have complied with this.
Trading name(s) that will be used if successful
in this procurement
Relevant classifications (state whether you fall within one of these, and if so, which
one):
1.1 (l)
Yes
a) Voluntary, Community and Social Enterprise (VCSE)
b) Sheltered workshop
c) Public service mutual
a
b
c
Yes
1.1(m)
Are you a Small, Medium or Micro Enterprise (SME)1?
No
Details of Persons of Significant Control (PSC), where appropriate:
(Please enter N/A if not applicable)
Name
1.1 (n)
Date of Birth
Nationality
Country, state or part of the UK where the PSC
usually lives
1
See EU definition of SME: http://ec.europa.eu/enterprise/policies/sme/facts-figures-analysis/sme-definition/
Service address
The date he or she became a PSC in relation to
the company (for existing companies the 6
April 2016 should be used)
Which conditions for being a PSC are met:
- Over 25% up to (and including) 50%
- More than 50% and less than 75%
- 75% or more. 2
Question
Response
Details of immediate parent company (Please enter N/A if not applicable)
Full name of the immediate parent company
Registered office address (if applicable)
1.1 (o)
Registration number (if applicable)
Head office DUNS number (if applicable)
Head office VAT number (if applicable)
Details of ultimate parent company (Please enter N/A if not applicable):
Full name of the ultimate parent company
Registered office address (if applicable)
1.1 (p)
Registration number (if applicable)
Head office DUNS number (if applicable)
Head office VAT number (if applicable)
Please note: A criminal record check for relevant convictions may be undertaken for the preferred suppliers
and the persons of significant in control of them.
2
Central Government contracting authorities should use this information to have the PSC information for the preferred
supplier checked before award.
Part 1 – Bidding Model
Question
Response
Yes
No
If yes, please provide details listed in
questions 1.2(a) (ii), (a) (iii) and to 1.2(b)
(i) Are you bidding as the lead contact for a group of (i), (b) (ii), 1.3, Section2 and 3.
economic operators?
If no, and you are a supporting bidder,
please provide the name of your group at
1.2 (a) (ii) for reference proposes, and
complete 1.3, Section 2 and 3.
1.2 (a)
(ii) Name of group of economic operators
(if applicable)
(iii) Proposed legal structure if the group of economic
operators intends to form a named single entity
prior to signing a contract, if awarded. If you do
not propose to form a single legal entity, please
explain the legal structure.
Question
Response
(i) Are you, or if applicable the group of economic operators, proposing to use
sub-contractors?
1.2 (b)
Yes
N/A
(ii) If you responded “Yes” to (i) above, please provide additional details for each sub-contractor in
the following table: we may ask them to complete this form as well.
Name
Registered address
Trading Status
Company
registration
number
Head Office DUNS
number (if
applicable)
Registered VAT
number
Type of
organisation
Yes
Yes
Yes
Yes
Yes
No
No
No
No
No
SME?
The role each subcontractor will take
in providing the
works and/or
supplies e.g. key
deliverables
The approximate %
of contractual
obligations
assigned to each
sub-contractor
Section A
Grounds for Mandatory Exclusion
Please answer the following questions in full.
Please note that every organisation that is being relied on to meet the requirements of this procurement exercise must
complete and submit the Section A self-declaration.
This Part 2 is Pass/Fail and must be completed fully.
Part 2 - Grounds for mandatory exclusion
Question
Response
Regulations 57(1) and (2)
The detailed grounds for mandatory exclusion of an organisation are set out on this web
page, which should be referred to before completing these questions.
Please indicate if, within the past five years you, your organisation or any other person who has
powers of representation, decision or control in the organisation been convicted, anywhere in the
world, of any of the offences within the summary below and listed on the web page.
Participation in a criminal organisation
Yes
No
If Yes please provide details at 2.1(b)
Corruption
Yes
No
If Yes please provide details at 2.1(b)
2.1 (a)
Fraud
Yes
No
If Yes please provide details at 2.1(b)
Terrorist offences or offences linked to terrorist
activities
Money laundering or terrorist financing
Yes
No
If Yes please provide details at 2.1(b)
Yes
No
If Yes please provide details at 2.1(b)
Child labour and other forms of trafficking in human
beings
Yes
No
If Yes please provide details at 2.1(b)
If you have answered yes to question 2.1(a), please
provide further details:
2.1 (b)
2.2
 Date of conviction, specify which of the grounds
listed the conviction was for, and the reasons for
conviction;
 Identity of who has been convicted;
 If the relevant documentation is available
electronically, please provide the web address,
issuing authority and precise reference of the
documents.
If you have answered Yes to any of the points above have measures been taken
to demonstrate the reliability of the organisation despite the existence of a
relevant ground for exclusion? (Self-Cleaning)
Yes
No
Regulation 57(3)
2.3 (a)
Has it been established, for your organisation by a judicial or administrative
decision having final and binding effect in accordance with the legal provisions
of any part of the United Kingdom or the legal provisions of the country in
which the organisation is established (if outside the UK), that the organisation is
in breach of obligations related to the payment of tax or social security
contributions?
Question
2.3 (b)
Yes
No
Response
If you have answered yes to question 2.3(a), please
provide further details. Please also confirm you have
paid, or have entered into a binding arrangement with
a view to paying, the outstanding sum including where
applicable any accrued interest and/or fines.
Please Note: The authority reserves the right to use its discretion to exclude a potential supplier where it
can demonstrate by any appropriate means that the potential supplier is in breach of its obligations relating
to the non-payment of taxes or social security contributions.
Section A
Grounds for Discretionary Exclusion
Candidates may submit the Single Procurement Document in response to this section.
Energy Systems Catapult may exclude any Candidates who answers ‘Yes’ in any of the following situations set out in
paragraphs (a) to (i);
Part 3 - Grounds for discretionary exclusion
Question
Response
Regulation 57 (8)
3.1
3.1(a)
The detailed grounds for discretionary exclusion of an organisation are set out on this web
page, which should be referred to before completing these questions.
Please indicate if, within the past three years, anywhere in the world, any of the following
situations have applied to you, your organisation or any other person who has powers of
representation, decision or control in the organisation.
Yes
No
Breach of environmental obligations?
If Yes please provide details at 3.2
3.1 (b)
Yes
Breach of social obligations?
No
If Yes please provide details at 3.2
3.1 (c)
Yes
Breach of labour law obligations?
No
If Yes please provide details at 3.2
3.1(d)
3.1(e)
Bankrupt or is the subject of insolvency or winding-up
proceedings, where the organisation’s assets are being
administered by a liquidator or by the court, where it is
Yes
No
in an arrangement with creditors, where its business
activities are suspended or it is in any analogous If Yes please provide details at 3.2
situation arising from a similar procedure under the
laws and regulations of any State?
Yes
No
Guilty of grave professional misconduct?
If Yes please provide details at 3.2
3.1(f)
3.1(g)
3.1(h)
3.1(i)
Entered into agreements with other
operators aimed at distorting competition?
economic
Yes
No
If Yes please provide details at 3.2
Yes
No
Aware of any conflict of interest within the meaning of
regulation 24 due to the participation in the If Yes please provide details at 3.2
procurement procedure?
Yes
No
Been involved in the preparation of the procurement
If Yes please provide details at 3.2
procedure?
Shown significant or persistent deficiencies in the
performance of a substantive requirement under a prior
Yes
No
public contract, a prior contract with a contracting entity,
or a prior concession contract, which led to early If Yes please provide details at 3.2
termination of that prior contract, damages or other
comparable sanctions?
Please answer the following statements:
(i) The
organisation
is
guilty
of
serious
misrepresentation in supplying the information
required for the verification of the absence of
grounds for exclusion or the fulfilment of the
selection criteria.
Yes
No
If Yes please provide details at 3.2
(ii) The organisation has withheld such information.
3.1 (j)
(iii) The organisation is not able to submit supporting
Yes
No
documents required under regulation 59 of the
Public Contracts Regulations 2015.
If Yes please provide details at 3.2
(iv) The organisation has influenced the decisionYes
No
making process of the contracting authority to obtain
confidential information that may confer upon the
If Yes please provide details at 3.2
organisation undue advantages in the procurement
procedure, or to negligently provide misleading
information that may have a material influence on
decisions concerning exclusion, selection or award.
Yes
No
If Yes please provide details at 3.2
3.2
If you have answered Yes to any of the above, explain
what measures been taken to demonstrate the
reliability of the organisation despite the existence of a
relevant ground for exclusion? (Self-Cleaning)
Section A
Economic and Financial Standing
Part 4 – Economic and Financial Standing
Question
Response
Yes
Are you able to provide a copy of your audited accounts for the last two
years, if requested?
If no, can you provide one of the following: answer with an “X” in the
relevant box.
4.1
(a) A statement of the turnover, Profit and Loss Account/Income
Statement, Balance Sheet/Statement of Financial Position and
Statement of Cash Flow for the most recent year of trading for this
organisation.
(b) A statement of the cash flow forecast for the current year and a
bank letter outlining the current cash and credit position.
4.2
No
Yes
No
Yes
No
(c) Alternative means of demonstrating financial status if any of the
above are not available (e.g. forecast of turnover for the current
year and a statement of funding provided by the owners and/or the
bank, charity accruals accounts or an alternative means of
demonstrating financial status).
Yes
Where ESC has specified a minimum level of economic and financial
standing and/ or a minimum financial threshold, please self-certify by
answering ‘X’ in the relevant box that you meet the requirements set out
here.
Yes
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No
No
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Section A If you have indicated in the Questionnaire question 1.2 that you are part of a wider
group, please provide further details below:
Part 5 - If you have indicated in question 1.2(a) in Part 1 of this questionnaire that
you are part of a wider group, please provide further details below:
Question
Response
Name of organisation
Relationship to the Tenderer completing the questions
5.1
5.2
Yes
Are you able to provide parent company accounts if requested to at a
later stage?
No
Yes
If yes, would the parent company be willing to provide a guarantee if
necessary?
No
Yes
5.3
If no, would you be able to obtain a guarantee elsewhere (e.g. from a
bank)?
No
Section 6 – Requirements under Modern Slavery Act 2015
Question
6.1
Are you a relevant commercial organisation as defined by Section
54 (“Transparency in Supply Chains etc.”) of the Modern Slavery
Act 2015 (“the Act”)?
Response
Yes
N/A
Yes
6.2
If you have answered “Yes” to question 1, are you compliant with
the annual reporting requirements contained within Section 54 of
the Act 2015?
No
Please provide an
explanation
Section A - Insurances
Part 7 Indemnity and Liability Provision
Please confirm that for the service being proposed the Bidder’s organisation could provide these
insurances:
Professional Indemnity - £1M
Please Select
Employers Liability - £5M
Please Select
Public/Products Liability - £5M
Please Select
If the Bidder’s response is no to any of these provisions, please explain current
provision and whether you are prepared to increase insurance if successful in
being awarded a contract to supply the Services.
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ADDITIONAL ITT SECTIONS
Section B – Qualitative Proposals
Notes:
Word count is maximum. Unless specifically requested for within the question, we will not be
reviewing any additional material submitted. CVs are not subject to the word count.
We are not requesting costs against specific pieces of work with defined scope. We require
a proposed team structure and costs, please state your assumptions.
Proposal for Software Development
Approach
B1.1
Sub Weighting: 40%
Response: 900 Words
Please explain how you would meet the requirements set out in general
requirements and scope of work (3.2). Highlight any requirements you would
be unable to meet, explain how you monitor and control quality, protect IP,
ensure Health and Safety, and anything you do to add value. Based on your
previous experience of working on this type of project, highlight any key areas
of concern on this example and how you would address these concerns to
achieve a successful outcome.
Response Enclosed?
☐
Yes
☐
No
Resources
B1.2
Sub Weighting: 40%
Response: 600 Words
Please describe your capabilities, including:









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The number of different types of staff at different levels/grades
Staff and site locations and number of staff at each location
Experience of working on the technology stack outlined in Software
Development Scope of Service
Experience of working on development of embedded software (that
runs in an in-home hub device), cloud software and application/user
interface software
How you facilitate collaborative working with your customers
How you keep your engineering teams up to date on current software
technologies and best practice software development techniques
Approach and application of automated testing
Your approach to planning managing software development projects
Any partners you work with to expand your offering
Response Enclosed?
☐
Yes
☐
No
☐
Yes
☐
No
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Experience
B1.3
Sub Weighting: 20%
Response: 600 words, CVs of key members of staff and
examples of previous pieces of work
From projects you have delivered previously, please detail what lessons
learnt or experiences you will use that are relevant to our requirement.
Provide CVs of key members of staff that will be working with us.
Response Enclosed?
☐
Yes
☐
No
Equal Opportunities & Diversity
B2
Weighting: 5%
Response: 300 words
Please detail what steps will be taken to ensure and promote equal
opportunities during the term of this Contract.
Response Enclosed?
☐
Yes
☐
No
Environment
B3
Weighting: 5%
Response: 300 words
Please provide details of how your firm seeks to minimise the impact of
your business on the environment. Please include details of any
standards achieved or awards received.
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Response Enclosed?
☐
Yes
☐
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No
Section C - Commercial Submission
C1 – Terms and Conditions
Pass/Fail
I/we confirm that we have read the Contract (Appendix 3) and accept without
equivocation the terms stated therein and agree that should we be we invited
pursuant to this procurement process to join the same we will do so promptly
upon request and without requesting to alter it in any way.
☐
Yes
☐
No
☐
Yes
☐
No
Failure to confirm acceptance of the material aspects of the terms and
conditions may result in your Tender being rejected. Please use the space
below to explain where necessary.
Pass/Fail
I/we confirm that we have read the Employer’s Requirements / Scope (ITT
3.2) and agree that we can and will comply with those requirements if required
to do so by the Authority and will not at any time in the future assert that I/we
cannot or will not comply with those requirements. I/we unequivocally accept
and agree that should we at any time pursuant to submitting this ITT state,
imply or evince any intention not to undertake to or refuse to comply with the
Employer’s Requirements the Authority may at its sole discretion remove the
Company (whether an individual entity or Consortium in its entirety) from the
Framework Agreement or alternatively preclude the Company (or
Consortium) from consideration for any call off contracts or mini-tender
competitions enacted under or in relation to the Framework Agreement.
Selecting No will result in a fail.
C2 Rates
Please complete the worksheet located in the “Response Documents” folder.
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Section D - Declaration
To be signed by an Officer of the Bidder’s Company in their own name on behalf of the
Company.
I certify that the information provided is accurate to the best of my knowledge and that I accept
the conditions and undertakings requested in the ITT. I understand and accept that false
information could result in rejection of the Company’s Tender.
Signed for and on behalf
of the Company
SIGNATURE
Name of person signing
on behalf of the Company
PRINT
Position/status in the
Company
PRINT
Company’s name and
address
PRINT
Date
For the purposes of this electronically transmitted Tender document it is sufficient that typed
names are permitted rather than signatures. A typed name will be deemed to have been signed
by a signature of the person stated with the necessary responsibility required within the Bidder’s
Company.
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Section E - Non Collusion Certificate
Contract Title: Software Development
Contract Reference: ESC1735
NO COLLUSION CERTIFICATE
The essence of selective tendering is that the Authority 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 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:(a) Communicating to any person the amount or approximate amount of the tender
herewith submitted;
(b) Entering into any agreement or arrangement with any person that he /she shall refrain
from tendering or as to the amount of any tender to be submitted; and
(c) Offering or paying or giving or agreeing to pay or give any sum of money or
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
said work any act or thing of the sort described above.
In this certificate, the word "person" includes any persons and any body or association,
corporate or incorporate; and "any agreement or arrangement" includes any such transaction,
formal or informal, whether legally binding or not.
I/We acknowledge that the Authority will be entitled to cancel the Framework Agreement and
to recover from me/us the amount of any loss resulting from such cancellation if I/we or our
representatives (whether with our without my/our knowledge) shall have practiced collusion in
tendering for this Framework Agreement or any other Contract or Framework Agreement with
the Authority and/or Buying Authority or shall employ any corrupt or illegal practices either in
the obtaining or execution of this Framework Agreement or any other Contract or Framework
Agreement with the Authority and/or Buying Authority.
Signed:
Print name:
Position in company:
(e.g. Director, Partner, Principal, Company
Secretary)
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For and on behalf of:
(i.e. organisation’s name)
Dated:
Unsigned submissions will be regarded as a non-compliant application and may therefore be
rejected.
For the purposes of this electronically transmitted Tender document it is sufficient that typed
names are permitted rather than signatures. A typed name will be deemed to have been signed
by a signature of the person stated with the necessary responsibility required within the Bidder’s
Company.
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