Cambridge City Council
Community Right to Challenge

Expression of Interest Application Form

Submission information 

Submission Window: 1st June to 31st July (annually)
Please note that all sections of this form must be completed.

If you need assistance completing the form, please refer to the Frequently Asked Questions document that can be downloaded from the website http://www.cambridge.gov.uk/right-to-challenge or refer to the relevant sections of the Community Right to Challenge Statutory Guidance .

SECTION 1. About your community organisation	

This section establishes basic facts about you and your organisation. 
	
Name of the organisation in whose name the EOI is submitted:		
Name of contact person for enquiries about this EOI:	Title:  Full Name:
	
Address:

Post code:	 	
Telephone Number:		
Fax number:		
Email Address:		
Registered address if different from the above:
Post Code:	

	Is your organisation: 	

	i)	A voluntary or community body? 
ii)	A body of persons or a trust that is established for charitable purposes only?
iii)	A company limited by guarantee?
iv)	A parish council?
v)	Two or more employees of Cambridge City Council?
vi)	Any other form of civil society organisation that reflects the characteristics of a “Relevant Body”?

If your organisation is a registered charity, please provide a valid, current registration number:

Name of (ultimate) parent company (if this applies):

Please provide information, below, that proves that your organisation is a “Relevant Body”. This should include a statement about how any profit or surpluses you might generate is reinvested in the local community. You may wish to attach supporting documents to this form, such as your group’s constitution, and state how you will move to become an incorporated body in the future, if you are not one already. 

	

	
SECTION 2. Your partners.	
If you intend working with other organisations to deliver this service please identify them and their contribution, in the table below. Please note, your partners or the sub-contractors you propose to use do not need to be a “Relevant Body”.	
Name and type of organisation working with you, e.g. a company. 	Relationship with you as a lead body, e.g. a partner or a sub-contractor.

	Proportion of the service they will be responsible for delivering.

SECTION 3. Financial Information.	

Please give information that proves your organisation is or will be financially viable in the future. This will allow you to provide the services you want to deliver. Financial information is also required for any organisations that you propose to form a consortium with, to deliver the service and/or any sub-contractors you propose to use to deliver the service.  	
Is your organisation a formal legal entity?	Yes/No       	
Does your organisation have a business plan?	Yes/No       If Yes, please attach a copy to the form you return.	
Can you provide copies of your accounts or equivalent financial information?	Yes/No       If Yes, please attach a copy to the form you return.	
Can you provide bankers/accountants’ references and any guarantees from a parent organisation, if applicable?	Yes/No       If Yes, please attach a copy to the form you return.	
Please describe how you (and your partners) intend to ensure you have sufficient funds to finance the provision of the “Relevant Service” and the steps you will take to protect these funds. Please also include information showing how you will monitor the service to ensure it will continue to give value for money for the residents of Cambridge. 

SECTION 4. The Expression of Interest (EOI)	
4.1 The service being challenged 

Please describe here the “Relevant Service” you are expressing an interest in.  Your description should be as clear and detailed as possible so that service managers have an understanding of the elements you are expressing an interest in. If your interest is in a service covering a particular geographical area, rather than the whole of the City, please state the area covered.

	

4.2 Your proposal for the service

Please detail here your proposal for providing this service. In particular this should cover:

•	Your current relationship, if any, with the Council.
•	What you will change in the current service (e.g. reduce costs, increase productivity and raise quality, etc.) to improve it.
•	How these improvements will better meet the needs of service users and provide value for money for the residents of Cambridge.
•	How you intend to manage the user groups or community representatives, if any, who have an interest in the service?
•	How your partners, if any, will enable you to deliver a better service.

	

4.3 Identifying the wider outcomes you will achieve through provision of the service

Please state how your approach to the “Relevant Service” will improve the social, economic or environmental wellbeing of local communities in Cambridge both in the short-term and longer-term. The Statutory Guidance gives examples of outcomes such as creating more local jobs, improving local skills, extending volunteering opportunities, etc.

	

4.4 Your capability (and that of your partners) to provide the service

Please explain, with supporting evidence, why your organisation (and any partners) has the expertise and is capable of providing the “Relevant Service” in the way you describe in section 4.2. Please include information about: 

•	Projects or contracts your organisation (and any partners) may have been involved in delivering.
•	The present experience or expertise that your staff has in providing the “Relevant Service”. 
•	Plans you may have to develop your organisation in preparation for procurement exercise.

	

4.5 For Cambridge City Council employees only

If your organisation consists of employees of Cambridge City Council please describe how you will engage other employees who are affected by your expression of interest.

	

SECTION 5. Declaration 	

1)	We certify that the information included in this EOI is true to the best of our knowledge and belief.

2)	We accept the FOIA conditions set out in the Frequently asked Questions.

3)	We certify that we have not and shall not at any time commit a Prohibited Act as set out below in connection with this EOI. The following constitute Prohibited Acts:

(a)	to directly or indirectly offer, promise or give any person working for or engaged by the Council a financial or other advantage to:

•	induce that person to perform improperly a relevant function or activity; or
•	reward that person for improper performance of a relevant function or activity;

(b)	to directly or indirectly request, agree to receive or accept any financial or other advantage as an inducement or a reward for improper performance of a relevant function or activity in connection with this EOI;

(c) committing any offence:
•	under the Bribery Act 2010;
•	under legislation creating offences concerning fraudulent acts;
•	at common law concerning fraudulent acts relating to this EOI or any other contract with the Council; or
•	defrauding, attempting to defraud or conspiring to defraud the Council

4)         We certify that this EOI and any accompanying information supplied, complies with the requirements laid down in respect of Chapter 2, the ‘Community Right to Challenge’ under the Localism Act 2011 and any subsequent Regulations issued by Statutory Instrument or other regulatory method.  

Form completed by:

Name:                         
Position (Job Title):    

Date:                          

Telephone Number    

Signature                   

	

Please send your completed form to either right-to-challenge@cambridge.gov.uk 

Community Right to Challenge
Business and Information Services
Cambridge City Council
P.O. Box 700
Cambridge
CB1 0JH
  
You will receive an acknowledgement confirming the date of receipt by the Council.