Einheitliche Europäische Eigenerklärung (EEE)

Teil I: Angaben zum Vergabeverfahren und zum öffentlichen Auftraggeber oder Sektorenauftraggeber

Angaben zur Veröffentlichung

Bei Vergabeverfahren, für die eine Ausschreibung („Aufruf zum Wettbewerb“) im Amtsblatt der Europäischen Union veröffentlicht wurde, werden die für Teil I benötigten Angaben automatisch abgerufen. Voraussetzung dafür ist, dass der elektronische EEE-Dienst zum Erstellen und Ausfüllen der EEE genutzt wird. Veröffentlichung der einschlägigen Bekanntmachung im Amtsblatt der Europäischen Union:

Übermittelte Nummer der BekanntmachungAZ 15.2019-12-10

Nummer der Bekanntmachung im ABl. S:2018/S 196-443535

URL des ABl. S

Wird im Amtsblatt der Europäischen Union kein Aufruf zum Wettbewerb veröffentlicht oder ist eine Veröffentlichung dort nicht erforderlich, muss der öffentliche Auftraggeber oder Sektorenauftraggeber Angaben einfügen, die eine eindeutige Identifizierung des Vergabeverfahrens ermöglichen (z. B. die Fundstelle einer Veröffentlichung auf nationaler Ebene).

Übermittelte Nummer der Bekanntmachung

Nummer der Bekanntmachung im ABl. S:EU-Amtsblatt

URL des ABl. S

Beschaffer

Offizielle Bezeichnung:EFG-Europäisches Fördermanagement GmbH

Ggf. Umsatzsteuer-Identifikationsnummer:

Website (falls vorhanden):

Stadt:Berlin

Straße und Hausnummer:Bernburger Str. 27

Postleitzahl:10963

Kontaktperson:

Telefonnummer:

fax:

E-Mail-Adresse:

Land:DE

Angaben zum Vergabeverfahren

Titel:Beschaffung von Konzeptionierungs- und Umsetzungsleistungen betreffend die „Heranführung Jugendlicher und junger Erwachse-ner an den Ausbildungs- und Arbeitsmarkt“ im Rahmen des ESF-Förderinstruments Nr. 15 des Landes Berlin: Berufliche Integration Jugendlicher: Berufsorientierung und Berufsvorbereitung

Kurzbeschreibung:

Die anzubietenden Maßnahmen zielen durch intensives individuelles Coaching der Teil-nehmenden (TN) darauf ab, • Schwierigkeiten in individuellen Lebenssituationen zu überwinden, um • Leistungen der Grundsicherung (wieder) in Anspruch zu nehmen und • die Bereitschaft für eine schulische, ausbildungsbezogene bzw. berufliche Qualifikation oder eine Arbeitsaufnahme zu entwickeln. Rechtsgrundlage der ausgeschriebenen Leistung ist darüber hinaus § 16 h SGB II „För-derung schwer zu erreichender junger Menschen“

Aktenzeichen beim öffentlichen Auftraggeber oder Sektorenauftraggeber (falls zutreffend):AZ 15.2019-12-10

Teil III: Ausschlussgründe

A: Gründe im Zusammenhang mit einer strafrechtlichen Verurteilung

In Artikel 57 Absatz 1 der Richtlinie 2014/24/EU werden folgende Ausschlussgründe genannt:

Participation in a criminal organisation

Your answer?

Ja / Nein

Date of conviction

Reason

Who has been convicted

Length of the period of exclusion

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Corruption

Has the economic operator itself or any person who is a member of its administrative, management or supervisory body or has powers of representation, decision or control therein been the subject of a conviction by final judgment for corruption, by a conviction rendered at the most five years ago or in which an exclusion period set out directly in the conviction continues to be applicable? As defined in Article 3 of the Convention on the fight against corruption involving officials of the European Communities or officials of Member States of the European Union, OJ C 195, 25.6.1997, p. 1, and in Article 2(1) of Council Framework Decision 2003/568/JHA of 22 July 2003 on combating corruption in the private sector (OJ L 192, 31.7.2003, p. 54). This exclusion ground also includes corruption as defined in the national law of the contracting authority (contracting entity) or the economic operator.

Your answer?

Ja / Nein

Date of conviction

Reason

Who has been convicted

Length of the period of exclusion

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Fraud

Your answer?

Ja / Nein

Date of conviction

Reason

Who has been convicted

Length of the period of exclusion

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Terrorist offences or offences linked to terrorist activities

Has the economic operator itself or any person who is a member of its administrative, management or supervisory body or has powers of representation, decision or control therein been the subject of a conviction by final judgment for terrorist offences or offences linked to terrorist activities, by a conviction rendered at the most five years ago or in which an exclusion period set out directly in the conviction continues to be applicable? As defined in Articles 1 and 3 of Council Framework Decision of 13 June 2002 on combating terrorism (OJ L 164, 22.6.2002, p. 3). This exclusion ground also includes inciting or aiding or abetting or attempting to commit an offence, as referred to in Article 4 of that Framework Decision.

Your answer?

Ja / Nein

Date of conviction

Reason

Who has been convicted

Length of the period of exclusion

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Money laundering or terrorist financing

Has the economic operator itself or any person who is a member of its administrative, management or supervisory body or has powers of representation, decision or control therein been the subject of a conviction by final judgment for money laundering or terrorist financing, by a conviction rendered at the most five years ago or in which an exclusion period set out directly in the conviction continues to be applicable? As defined in Article 1 of Directive 2005/60/EC of the European Parliament and of the Council of 26 October 2005 on the prevention of the use of the financial system for the purpose of money laundering and terrorist financing (OJ L 309, 25.11.2005, p. 15).

Your answer?

Ja / Nein

Date of conviction

Reason

Who has been convicted

Length of the period of exclusion

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Child labour and other forms of trafficking in human beings

Has the economic operator itself or any person who is a member of its administrative, management or supervisory body or has powers of representation, decision or control therein been the subject of a conviction by final judgment for child labour and other forms of trafficking in human beings, by a conviction rendered at the most five years ago or in which an exclusion period set out directly in the conviction continues to be applicable? As defined in Article 2 of Directive 2011/36/EU of the European Parliament and of the Council of 5 April 2011 on preventing and combating trafficking in human beings and protecting its victims, and replacing Council Framework Decision 2002/629/JHA (OJ L 101, 15.4.2011, p. 1).

Your answer?

Ja / Nein

Date of conviction

Reason

Who has been convicted

Length of the period of exclusion

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

B: Gründe im Zusammenhang mit der Entrichtung von Steuern oder Sozialversicherungsbeiträgen

In Artikel 57 Absatz 2 der Richtlinie 2014/24/EU werden folgende Ausschlussgründe genannt:

Payment of taxes

Has the economic operator breached its obligations relating to the payment of taxes, both in the country in which it is established and in Member State of the contracting authority or contracting entity if other than the country of establishment?

Your answer?

Ja / Nein

Country or member state concerned

Amount concerned

Has this breach of obligations been established by means other than a judicial or administrative decision?

Ja / Nein

Please describe which means were used

If this breach of obligations was established through a judicial or administrative decision, was this decision final and binding?

Ja / Nein

Date of conviction

Length of the period of exclusion

Has the economic operator fulfilled its obligations by paying or entering into a binding arrangement with a view to paying the taxes or social security contributions due, including, where applicable, any interest accrued or fines?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Payment of social security contributions

Has the economic operator breached its obligations relating to the payment social security contributions, both in the country in which it is established and in Member State of the contracting authority or contracting entity if other than the country of establishment?

Your answer?

Ja / Nein

Country or member state concerned

Amount concerned

Has this breach of obligations been established by means other than a judicial or administrative decision?

Ja / Nein

Please describe which means were used

If this breach of obligations was established through a judicial or administrative decision, was this decision final and binding?

Ja / Nein

Date of conviction

Length of the period of exclusion

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

C: Gründe im Zusammenhang mit Insolvenz, Interessenkonflikten oder beruflichem Fehlverhalten

In Artikel 57 Absatz 4 der Richtlinie 2014/24/EU werden folgende Ausschlussgründe genannt:

Breaching of obligations in the fields of environmental law

Has the economic operator, to its knowledge, breached its obligations in the fields of environmental law? As referred to for the purposes of this procurement in national law, in the relevant notice or the procurement documents or in Article 18(2) of Directive 2014/24/EU.

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Breaching of obligations in the fields of social law

Has the economic operator, to its knowledge, breached its obligations in the fields of social law? As referred to for the purposes of this procurement in national law, in the relevant notice or the procurement documents or in Article 18(2) of Directive 2014/24/EU.

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Breaching of obligations in the fields of labour law

Has the economic operator, to its knowledge, breached its obligations in the fields of labour law? As referred to for the purposes of this procurement in national law, in the relevant notice or the procurement documents or in Article 18(2) of Directive 2014/24/EU.

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Bankruptcy

Is the economic operator bankrupt? This information needs not be given if exclusion of economic operators in this case has been made mandatory under the applicable national law without any possibility of derogation where the economic operator is nevertheless able to perform the contract.

Your answer?

Ja / Nein

Please describe them

Indicate reasons for being nevertheless to perform the contract

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Insolvency

Is the economic operator the subject of insolvency or winding-up? This information needs not be given if exclusion of economic operators in this case has been made mandatory under the applicable national law without any possibility of derogation where the economic operator is nevertheless able to perform the contract.

Your answer?

Ja / Nein

Please describe them

Indicate reasons for being nevertheless to perform the contract

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Arrangement with creditors

Is the economic operator in arrangement with creditors? This information needs not be given if exclusion of economic operators in this case has been made mandatory under the applicable national law without any possibility of derogation where the economic operator is nevertheless able to perform the contract.

Your answer?

Ja / Nein

Please describe them

Indicate reasons for being nevertheless to perform the contract

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Analogous situation like bankruptcy under national law

Is the economic operator in any analogous situation like bankruptcy arising from a similar procedure under national laws and regulations? This information needs not be given if exclusion of economic operators in this case has been made mandatory under the applicable national law without any possibility of derogation where the economic operator is nevertheless able to perform the contract.

Your answer?

Ja / Nein

Please describe them

Indicate reasons for being nevertheless to perform the contract

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Assets being administered by liquidator

Are the assets of the economic operator being administered by a liquidator or by the court? This information needs not be given if exclusion of economic operators in this case has been made mandatory under the applicable national law without any possibility of derogation where the economic operator is nevertheless able to perform the contract.

Your answer?

Ja / Nein

Please describe them

Indicate reasons for being nevertheless to perform the contract

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Business activities are suspended

Are the business activities of the economic operator suspended? This information needs not be given if exclusion of economic operators in this case has been made mandatory under the applicable national law without any possibility of derogation where the economic operator is nevertheless able to perform the contract.

Your answer?

Ja / Nein

Please describe them

Indicate reasons for being nevertheless to perform the contract

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Guilty of grave professional misconduct

Is the economic operator guilty of grave professional misconduct? Where applicable, see definitions in national law, the relevant notice or the procurement documents.

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Agreements with other economic operators aimed at distorting competition

Has the economic operator entered into agreements with other economic operators aimed at distorting competition?

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Conflict of interest due to its participation in the procurement procedure

Is the economic operator aware of any conflict of interest, as indicated in national law, the relevant notice or the procurement documents due to its participation in the procurement procedure?

Your answer?

Ja / Nein

Please describe them

Direct or indirect involvement in the preparation of this procurement procedure

Has the economic operator or an undertaking related to it advised the contracting authority or contracting entity or otherwise been involved in the preparation of the procurement procedure?

Your answer?

Ja / Nein

Please describe them

Early termination, damages or other comparable sanctions

Has the economic operator experienced that a prior public contract, a prior contract with a contracting entity or a prior concession contract was terminated early, or that damages or other comparable sanctions were imposed in connection with that prior contract?

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Guilty of misinterpretation, withheld information, unable to provide required documents and obtained confidential information of this procedure

Can the economic operator confirm the four exclusion grounds, that it has not been guilty of serious misrepresentation in supplying the information required for the verification of the absence of grounds for exclusion or the fulfilment of the selection criteria, that it has not withheld such information, it has been able, without delay, to submit the supporting documents required by a contracting authority or contracting entity, and it has not undertaken to unduly influence the decision making process of the contracting authority or contracting entity, to obtain confidential information that may confer upon it undue advantages in the procurement procedure or to negligently provide misleading information that may have a material influence on decisions concerning exclusion, selection or award?

Your answer?

Ja / Nein

D: Rein innerstaatliche Ausschlussgründe

Liegen in der einschlägigen Bekanntmachung oder in den Auftragsunterlagen angegebene rein innerstaatliche Ausschlussgründe vor?

Purely national exclusion grounds

Other exclusion grounds that may be foreseen in the national legislation of the contracting authority’s or contracting entity’s Member State. Do the purely national grounds of exclusion, which are specified in the relevant notice or in the procurement documents, apply?

Your answer?

Ja / Nein

Please describe them

Have you taken measures to demonstrate your reliability ("Self-Cleaning")?

Ja / Nein

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Teil IV: Eignungskriterien

ɑ: Globalvermerk zur Erfüllung aller Eignungskriterien

In Bezug auf die Eignungskriterien verlangt der Auftraggeber vom Wirtschaftsteilnehmer folgende Erklärung:

Enrolment in a trade register

It is enrolled in trade registers kept in the Member State of its establishment as described in Annex XI of Directive 2014/24/EU; economic operators from certain Member States may have to comply with other requirements set out in that Annex.

Your answer?

Ja / Nein

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

General yearly turnover

Its general yearly turnover for the number of financial years required in the relevant notice, the procurement documents or the ESPD is as follows:

Start Date

End Date

Amount

Start Date

End Date

Amount

Start Date

End Date

Amount

Start Date

End Date

Amount

Start Date

End Date

Amount

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Professional risk indemnity insurance

The insured amount in its professional risk indemnity insurance is the following:

Amount

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

For service contracts: performance of services of the specified type

For public service contracts only: During the reference period, the economic operator has provided the following main services of the type specified. Contracting authorities may require up to three years and allow experience dating from more than three years.

Description

Amount

Start Date

End Date

Recipients

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Technicians or technical bodies for quality control

It can call upon the following technicians or technical bodies, especially those responsible for quality control. For technicians or technical bodies not belonging directly to the economic operator's undertaking but on whose capacities the economic operator relies as set out under Part II, Section C, separate ESPD forms must be filled in.

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Educational and professional qualifications

The following educational and professional qualifications are held by the service provider or the contractor itself, and/or (depending on the requirements set out in the relevant notice or the procurement documents by its managerial staff.

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Average annual manpower

The economic operator’s average annual manpower for the last three years were as follows:

Year

Number

Year

Number

Year

Number

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Tools, plant or technical equipment

The following tools, plant or technical equipment will be available to it for performing the contract:

Please describe them

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Subcontracting proportion

The economic operator intends possibly to subcontract the following proportion (i.e. percentage) of the contract. Please note that if the economic operator has decided to subcontract a part of the contract and relies on the subcontractor’s capacities to perform that part, then please fill in a separate ESPD for such subcontractors, see Part II, Section C above.

Please specify

Certificates by independent bodies about quality assurance standards

Will the economic operator be able to produce certificates drawn up by independent bodies attesting that the economic operator complies with the required quality assurance standards, including accessibility for disabled persons?

Your answer?

Ja / Nein

If not, please explain why and specify which other means of proof concerning the quality assurance scheme can be provided:

Is this information available electronically?

Ja / Nein

URL

Code

Aussteller

Code

Issuer

Ende

Teil VI: Abschlusserklärungen

Die Unterzeichneten erklären förmlich, dass die von ihnen in den Teilen II bis V angegebenen Informationen genau und korrekt sind und sie sich der Konsequenzen einer schwerwiegenden Täuschung bewusst sind.

Die Unterzeichneten erklären förmlich, dass sie in der Lage sind, auf Anfrage unverzüglich die Bescheinigungen und anderen genannten dokumentarischen Nachweise beizubringen, außer:

a) wenn der öffentliche Auftraggeber oder Sektorenauftraggeber über die Möglichkeit verfügt, die betreffenden zusätzlichen Unterlagen direkt über eine gebührenfreie nationale Datenbank in einem Mitgliedstaat abzurufen (vorausgesetzt, dass der Wirtschaftsteilnehmer die erforderlichen Angaben (Web-Adresse, bescheinigende Stelle, genaue Angabe der Dokumente) gemacht hat, die es dem öffentlichen Auftraggeber oder Sektorenauftraggeber ermöglicht, dies zu tun; ggf. ist hierfür eine Zugangsgenehmigung zu erteilen), oder

b) wenn ab spätestens 18. Oktober 2018 (in Abhängigkeit von der nationalen Umsetzung des Artikels 59 Absatz 5 Unterabsatz 2 der Richtlinie 2014/24/EU) der öffentliche Auftraggeber oder Sektorenauftraggeber bereits im Besitz der betreffenden Unterlagen ist.

Die Unterzeichneten stimmen förmlich zu, dass [der öffentliche Auftraggeber oder Sektorenauftraggeber im Sinne des Teils I Abschnitt A] Zugang zu den Unterlagen erhält, mit denen die Informationen belegt werden, die die Unterzeichneten in [hier die betreffenden Teile/Abschnitte/Punkte aufführen] dieser Einheitlichen Europäischen Eigenerklärung für die Zwecke des [Angabe des Vergabeverfahrens: (zusammenfassende Beschreibung, Fundstelle im Amtsblatt der Europäischen Union, Aktenzeichen)] angegeben haben.

Datum, Ort und – soweit verlangt oder notwendig – Unterschrift(en):

Datum

Ort

Unterschrift