Annex 08

Tender Procedure No: EIOPA/OP/50/2014

FRAMEWORK CONTRACT FOR THE

SUPPLY AND INSTALLATION OF FURNITURE

AND RELATED SERVICES

SELECTION CRITERIA QUESTIONNAIRE

Instructions

One signed original of this questionnaire must be supplied, together with three copies.

Please name and number all supporting documents and add the name and number of these documents in the fields labelled ‘Reference’ where requested.

Note that only the bids that meet the selection criteria shall pass to the next stage of the evaluation.

I  Selection criteria

I.1  Economic and financial capacity

I.1.1  Have you enclosed balance sheets, or summaries thereof, and profit and loss accounts for the past three financial years for which accounts have been closed, where publication of balance sheets is prescribed under company law in the country in which the economic operator is established?

YES/NO
Reference:

If not, have you enclosed equivalent documentation?

YES/NO (mandatory if previous reply is NO)
Reference:

I.1.2  Have you enclosed statements of the turnover realised over a period of the past three years, or for the period the company has been trading (if less than three years)?

YES/NO (mandatory)
Reference:

I.1.3  Please fill in the table below indicating the total turnover of all participating companies (tenderer and subcontractors) during the last three financial years; in case of a consortium, please quote the individual and global turnover of all consortium members.

Turnover of all participating companies in EUR
Year / Tenderer's turnover (turnover per company and total, including all consortium members) / Subcontractors’ turnover / Total turnover of all participating companies
2011
2012
2013
Average total turnover of all participating companies

Example:

Turnover of all participating companies in EUR
Year / Tenderer's turnover (turnover per company and total, including all consortium members) / Subcontractors’ turnover / Total turnover of all participating companies
2012 / ·  Company A:
100
·  Company B:
100
Total turnover:
200 / ·  Subcontractor 1:
50
·  Subcontractor 2:
50
Total turnover:
100 / 300

I.1.4  Do you intend to rely on the capacities of other entities (e.g. your parent company)?

YES/NO
Reference:

If yes, have you enclosed a declaration from this company stating that it will fully support your tender?

YES/NO (mandatory if previous reply is YES)
Reference:

I.2  Technical and Professional capacity

I.2.1  Have you enclosed a short description of the tenderer’s experience on the market for delivery furniture and related services?

YES/NO (mandatory)
Reference:

I.2.2  Have you enclosed information on two (2) projects carried out in in this field in the last three years with a minimum value of EUR 20,000 (excluding VAT) for each project?

YES/NO (mandatory)
Reference:

Did you include the following information for each project?

·  Name of client;

·  Short description of the project, including the type of goods/services delivered;

·  Duration of the project;

·  Contract value;

·  Reference letter from the client specifying that the required goods and services have been delivered fully and in a professional manner.

YES/NO (mandatory)
References:

I.2.3  Have you enclosed evidence of the tenderer’s professional capacity to perform the contract by submitting a copy of the excerpt from the relevant professional or trade register(s)?

YES/NO (mandatory)
Reference:

Have you provided an explanation if the tenderer is not required or permitted to feature in such a register for reasons of his/her statute or legal status?

YES/NO (mandatory if previous reply is NO)
Reference:

Date:

Signature:

Print name and title of signatory:

On behalf of: [insert name of Tenderer]

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