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PF Cusack Ltd

Pre-Qualification Questionnaire (PQQ)

Document Reference: FORM_PQQ_01
Issue Date: 01/09/2025
A M Water Services Limited


BASIC INFORMATION

Company Name: PF Cusack Ltd

Contact Name: David Hopkins

Phone: 02083 444100

Email: dhopkins@cusack.co.uk

What do you supply? Tool Products - Hand tools, power tools, site equipment


QUICK ASSESSMENT (Tick Yes or No)

Question Yes No
Do you have Public Liability Insurance?
Do you have a Health & Safety Policy?
Can you provide Risk Assessments?
Can you provide Method Statements (RAMS)?
Do you follow environmental regulations?
Can you provide references?
Are your staff qualified/trained?
Can you meet our delivery requirements?

DECLARATION

I confirm the above information is correct.

Signed: D. Hopkins

Date: 03/09/2025


OFFICE USE ONLY

☑ Approved
☐ Not Approved

Reviewed by: Leanne Mason Date: 09/09/2025


#TEAM - Together Everyone Achieves More


Supplier Annual Review (SAR)

Document Reference: FORM_SAR_01
Issue Date: 01/09/2025
A M Water Services Limited


SUPPLIER NAME: PF Cusack Ltd

REVIEW DATE: 9th September 2025


PERFORMANCE (Rate 1-5: 1=Poor, 3=OK, 5=Excellent)

Area Score
Quality of products/services 5
On-time delivery 5
Price/Value 4
Communication 4
Health & Safety compliance 5

TOTAL SCORE: 23 / 25

PERFORMANCE RATING:

  • 23-25 = Excellent ✓
  • 18-22 = Good
  • 13-17 = Satisfactory
  • 8-12 = Needs Improvement
  • Below 8 = Unacceptable

This Supplier: EXCELLENT


ISSUES THIS YEAR?

☑ None
☐ Minor issues - resolved
☐ Major issues - explain below

Comments: Reliable tool supplier since 2020. Good range of quality products.


DECISION

☑ Keep as approved supplier
☐ Review again in 6 months
☐ Remove from list


Reviewed by: Leanne Mason

Date: 9th September 2025


#TEAM - Together Everyone Achieves More