Supplier Evaluation Form - Allied Bakeries

1 Please supply all information requested on the following pages. All information supplied will not be disclosed to any third partiesOnce you have completed this document, please return by email to with any other supporting documentation. Once received, we will review your application and perform a credit check as a precursor to potential supply and you will be advised of progress. If you are not appointed, we reserve the right,unless you inform us otherwise, to keep the information provided on record to consider you in respect of other suitable commercial opportunities that may arise. Any information provided will be held securely and in confidence, not disclosed to any third parties to the extent any information constitutes sensitive personal data and treated in accordance with the Data Protection Act 1998 as Bakeries - a division of ABF Grain Products Ltd NOTE - PLEASE READ THIS INTRODUCTION BEFORE COMPLETING THIS DOCUMENTWe're one of three divisions of Allied Milling and Baking, along with Allied Mills and Speedibake, which in turn is part of Associated British Foods plc.

2 Together we employ around 5,500 people. We're the people who make the familiar names you see on supermarket and grocery store shelves: Kingsmill, Burgen, Allinson and well as bread, we make rolls, pancakes, crumpets, muffins, hot cross buns, wraps and other delicious bakery Allied this Evaluation Form Your Response Your ResponseCompany Name Company TypeSole Trader / Partnership / Limited Company / OtherCircle as AppropriateCompany Address Line 1 Number Of Years Trading Company Address Line 2 Company Address Line 3 TownCountyPost Code Switchboard Telephone NoSales Contact PersonSales EmailSales Telephone NoCompany Website AddressCompany Registration NumberVAT Number Dun & Bradstreet NumberIs your Registered Address If Different To Above.

3 Registered Address Line 1 Registered Address Line 2 Registered Address Line 3 TownCountyPost Code Do you have a Parent Company?Parent Company NameParent Company Address Line 1 Parent Company Address Line 2 Parent Company Address Line 3 TownCountyPost Code Address and Company InfoCompany OwnershipCompany Locations Please list below all of your Company locations (Offices/Warehouses/Manufacturing Sites)CategoryYour ResponseCategory Your Response ServiceYour ResponseAgency LabourIT HardwareWhole of UK including Northern IrelandBuilding MaterialsIT ServicesWhole of UK excluding Northern IrelandBuilding RepairsIT SoftwareLocal Geographical Area (Please detail)Business and Professional ServicesLaboratory ServicesCapital Purchases - Plant & EquipmentLaboratory SuppliesCapital Purchases - CivilsLaundryCapital Purchases - VehicleLubricantsCar FleetMaterials Handling EquipmentCarriage + Postage PaidMedia Catering ServicesMedical/Health & SafetyChemicalsOffice Supplies & FurnitureCleaningProduction & Logistics ConsumablesCommercial Vehicle Hire Promotional SpendCommercial Vehicle ServicesProtective Workwear & EquipmentCommercial Vehicle SparesRecruitmentCourier ServicesReturnable Packaging & Services (Baskets/Pallets)

4 Distribution ServicesSales & Marketing ServicesElectrical ConsumablesSample IngredientsElectrical Consumer GoodsSecurityElectrical ServicesSubcontract/3rd Party Bakery GoodsEngineering Mechanical ConsumablesSubscriptions, Sponsorships & DonationsEngineering ServicesTaxes, Fines & DutiesEnvironmental ServicesTelecommsFacilities Management ServicesTins, Rings and LidsFire EquipmentTools & SundriesFuel - DieselTrainingFuel - GasesTravel, Hotels, Rooms & EventsHire/Lease of Equipment (non-vehicle)UtilitiesHR Services/GiftsVehicle LicencingHygiene Materials & JanitorialsVehicle OperatingInsurancesWarehousingWhere do you geographically supply?Please confirm the locations you are able to supply using the detail box as necessaryFurther of SupplyPlease provide further information on what you are able to supply.

5 Highlighting your Business' specialisationAdditional Information on SupplyWhich category(s) does your business specialise in?Please mark with an x all your proposed supply category(s) Your ResponseAre you ISO14001or EMAS accredited?Yes/NoDo you have a documented Environmental Policy or defined Environmental Management System?Yes/NoHave you been prosecuted for any breachof environmental legislation in the last 5 years Yes/NoIf yes please supply brief you have any current non-compliances pending? Yes/NoIf yes please supply brief supply your company policy documents (or statement as a minimum) with this completed form regarding both Corporate Social Responsibility & SustainabilitySupplied/Not SuppliedSEDEX ( Supplier Ethical Data Exchange) Your ResponseAre you SEDEX Registered?

6 Yes/NoCertification TypeApproval BodyDate of Original CertificationRe-Accreditation DateIf "Yes" to above question, please enter your SEDEX number and membership category confirm compliance to and acceptance of our Ethical Trading DeclarationYes/NoQuality Assurance Accrediations - please list all that are relevant Environmental Management & CSR Do you have a company contingency plan and disaster recovery plan?If Yes how often is this reviewed and refreshed ?Your ResponseYes/NoContinuous ImprovementWhat continuous improvement systems do you employ?Systems InfoRiskPlease confirm your acceptance of our Terms and Conditions of Purchase for potential supplyYes/No 2 Years Ago Last YearProjected Current YearTurnoverGross ProfitNet ProfitFixed AssetsCurrent AssetsCurrent LiabilitiesLong Term LiabilitiesTotal Net AssetsCash At BankNumber of EmployeesProcurement spend Direct materialsProcurement spend Indirect materials + servicesCommercial Financial PerformancePlease complete the following financial and general information.

7 Note you are not required to fill out Grey areas