section b: questionnaire -...
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TENDER SUBMISSION FORM
Please familiarise yourself with the information contained in the Invitation to Tender before completing this form.
Name of Provider
In a few words, what activities are you proposing to carry out?
How much is your tender?
Please return this form and any supporting documents by e-mail to [email protected]
The deadline for submissions is 12pm on 13th April 2017. Bids received after the deadline may not be considered.
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SECTION A
Q1 ORGANISATIONAL DETAILS 1.1 Name of the
Organisation submitting the bid
1.2 Contact name:
1.3 Address:
1.4 Telephone number:
1.5 E-mail address:
1.7 Date of registration or incorporation:
1.8 Company Registration number (ifapplicable):
1.9 Registered charity number (if applicable)
Q 2 FINANCIAL CAPABILITY TO DELIVER THE SERVICE
2.1 Please provide the name and address of your banker:
Bank:
Address
Post Code
Account number:
Sort Code:
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2.2 The most recent audited accounts for my organisation are available on the Charity Commission website:
Yes / No (please delete as appropriate)If No is selected, please include the following in your application:
a) A copy of the most recent audited accounts for your organisation for the most recent full year of service delivery or
b) If none of the above is available, please state the reason below:
Q3 LEGAL AND POLICY COMPLIANCE TO DELIVER THE SERVICE
3.1Please confirm below if your organisation has in place, or can comply with the following. T.E.D. may ask to see some or all of the following from selected delivery partners before issuing a contract:
Constitution/ Articles of Association/other Governance document for the organisation
Vulnerable Adults Safeguarding Policy
Health & Safety Policy
Equalities Policy
Does your organisation have a Volunteers Policy?
User Engagement Policy: Does your organisation have an Older People Involvement/Service User Participation Policy.
Data Protection: Does your organisation have a data protection policy?
Insurance : Can you confirm that the insurance levels listed below will be in place before a contract for this service is signed
Employers Liability being not less than £5 million Public Liability being not less than £5 million public liability insurance commensurate with the risk £1 million
minimum
DBS: Can you confirm that all staff and volunteers involved in the delivery of the service in roles which are eligible for DBS checks hold up to date enhanced DBS certificates?
Complaints: Does your organisation have a Complaints Policy?
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If you have answered NO to any of the above please provide an explanation in the box below.
SECTION B: QUESTIONNAIRE
1. Please type your response to each question in the box below, not exceeding the word count. In the case of partnership bids, it will be the lead provider who will complete the questionnaire making the contribution of partners clear, with regard to each question.
2. All responses will be scored using the evaluation weighting listed with each individual question and in accordance with the evaluation model.
3. Please ensure that the declaration at the end of the questionnaire is completed.
Q1: Please provide a description of your organisation’s experience of delivering services to older people.
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Q2: Why is your project needed, what is your evidence of need?
Word limit: 300 Words.
Q3: How will the activity contribute to the overarching outcomes of T.E.D. in East Lindsey?
More older people will be better connected with volunteering, social, leisure and health improving activities leading to an enhanced quality of life
More older people in East Lindsey will report that they do not feel lonely or isolated More older people in East Lindsey will feel positive about the opportunities that getting older presents Older people in East Lindsey will have more opportunities to influence the design and delivery and evaluation of services
and businesses available to them.
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Word limit: 400 Words.
Q4: How will your activity help us meet our outcomes? Please relate this answer to the particular theme you are tendering for.
Word limit 400 Words
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Q5: What activities will you deliver and how many older people will benefit?
Word limit: 400 Words.
Q6: How will you involve older people in the design and delivery of your activity?
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Word limit 200 Words
Q7: Will any other partners be involved in the delivery of your services? What will their role be?
Word limit 150 Words
Budget Pro-forma
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Please note that the maximum available investment for this service is £25,000. Your budget proposal must be submitted on this pro-forma and in the format set out below. You may add explanatory notes if you wish.
Budget Items (add additional rows as required) Year 1Year 2 (if applicable)
Direct Service Costs (see Note 1)
£ £
£ £
£ £
£ £
£ £
£ £
£ £
Indirect Service Costs (see Note 2) £ £
£ £
£ £
£ £
£ £
Total Service Costs £ £
Match Funding (please submit evidence) -£ -£
TOTAL COST to T.E.D. £ £
Note 1: Direct costs are specific costs relating directly to the delivery of services under the funded project. (e.g. salary, transport and travel, premises, running costs, supplies and services, consultation and service access)
Note 2: Indirect costs are apportioned for the service from the overhead costs of the organisation as a whole. These could, for example, include a proportionate share of premises and office costs, management costs, management committee costs, professional fees. This is to enable all providers to recover the full cost of delivering the service
Breakdown of Salary Costs
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Job Title Hours Annual salary
Pension
Employer NI
Total Cost to T.E.D.
Please include a Job Description for any posts described above.
Additional Information:
BID SUBMISSION FORM DECLARATION
I certify that the information supplied is accurate to the best of my knowledge.
Printed Name*:
Name of Organisation /Lead Partner
Job title or position in organisation :
Date:
* Please type the name of the appropriate signatory and e mail this form to [email protected]. A handwritten signature is not required.