1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
TENDER RESPONSE – ITEM A
TENDERER’S DETAILS
I/We
Company Name:
Trading as:
Contact Name:
Address:
Phone: / Facsimile:
ABN:
Workcover Insurer / Workcover Policy No.
Public Liability Insurer
Amount / Policy No.
Contractor’s License No. / (Enclose Photocopy)
Scope of License/Registration
Signed: ……………………..Date / /2014
SECTION C – TENDER RESPONSE FORMS Return this formPage C1
/ CentralDesertRegional Council1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
TENDER RESPONSE – ITEM B
LUMP SUM PRICE BREAKDOWN
DEDCRIPTION / AMOUNT (excluding GST)
CHANGE ROOM
MOBILIZATION / $
SITE PREPARATION / $
CONCRETE CONSTRUCTION / $
STEEL CONSTRUCTION / $
INSULATION AND SARKING / $
ROOF / $
CLADDING, LINING, JOINERY AND TRIMS / $
CEILINGS / $
DOORS AND WINDOWS / $
VINYL / $
ELECTRICAL / $
CHANGE ROOM BENCHES / $
MISCELLANEOUS FIXTURES / $
SUB TOTAL / $
Amount in words / Dollars (including GST)
TENDER RESPONSE – ITEM B
LUMP SUM PRICE BREAKDOWN – TOILET BLOCK
DEDCRIPTION / AMOUNT (excluding GST)
TOILET BLOCK
SHIPPING CONTAINER INCLUDING TRANSPORT COST / $
CONCRETE FOUNDATION / $
STEEL CONSTRUCTION WITH ROOF / $
INSULATION AND SARKING / $
CEILINGS / $
DOORS AND WINDOWS / $
PARTITION WALL / $
WALL TILES AND EPOXY / $
SANITARY FIXTURES / $
ELECTRICAL / $
MISCELLANEOUS FIXTURES / $
STAIR CASE / $
SITE SERVICES
Connecting water and sewer to toilet block as per site service plan / $
Connecting underground power line from change room to toilet block / $
SUB TOTAL / $
Amount in words / Dollars (including GST)
TENDER RESPONSE – ITEM B
LUMP SUM PRICE BREAKDOWN – PUBLIC TOILET BLOCK
DEDCRIPTION / AMOUNT (excluding GST)
PUBLIC TOILET BLOCK
SHIPPING CONTAINER INCLUDING TRANSPORT COST / $
STEEL CONSTRUCTION WITH ROOF / $
CONCRETE FOUNDATION / $
INSULATION AND SARKING / $
CEILINGS / $
DOORS AND WINDOWS / $
PARTITION WALL / $
EPOXY / $
SANITARY FIXTURES / $
ELECTRICAL / $
MISCELLANEOUS FIXTURES / $
STAIR CASE AND DISABLE RAMP
SITE SERVICES
Connecting water and sewer from toilet block to public toilet block as per site service plan / $
Connecting underground power line from toilet block to public toilet / $
SUB TOTAL / $
TOTAL / $
GST / $
TOTAL INCLUDING GST / $
Amount in words / Dollars (including GST)
RESPONSES TO ASSESSMENT criteria – item C
NOTE: Add lines or an attachment if more space is required
1PAST PERFORMANCE
1.1Previous Experience
1.1.1 / Provide an overview of the organisations experience in providing similar Works.1.2Referees
1.2.1 / Tenderer to provide details and referees for at least 3 completed contracts of similar nature, scope and size.Contract Description / Contract Value$ / Referees
(Contact Person) / (Company Name and Phone No.)
Phone:
Phone:
Phone:
RESPONSES TO ASSESSMENT criteria – item D
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2TIME & FINANCIAL MANAGEMENT
2.1TIMELINESS
2.2 / Provide as an attachment a construction program detailing how timeframes as stated in the scope of works can be achieved. Construction plan to include:- methodology of construction/design
- delivery timeline, clearly indicating critical path
Proposed date for commencement of works / //2014
Proposed date for completion of works (Practical Completion) / //2014
2.3CASHFLOW SCHEDULE
Complete by marking the anticipated percentage of contract amount per period of construction as per construction plan under timeliness.
Day one of week one is the first Monday following the date of acceptance of the tender.
Identify if additional time is required
WEEK / 1 / 2 / 3 / 4 / 5 / 6 / 7 / 8 / 9 / 10 / 11 / 12 / 13 / 14 / 15 / 16MONTH / 1 / 2 / 3 / 4
Anticipated cumulative percentage of Contract Total (last entry to be 100%) / % / % / % / %
Signed: ……………………..Date / /2014
SECTION C – TENDER RESPONSE FORMS Return this formPage C1
/ CentralDesertRegional Council1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
RESPONSES TO ASSESSMENT criteria – ITEM E
Staffing commitment to the Works
2.3.1 / Tenderers are to state the total number of people to be employed in the execution of the Works.Number of Employees (=Tenderer + Sub-Contractor)
Number of Indigenous Employees (=Tenderer + Sub-Contractor)
Number of Apprentices (=Tenderer + Sub-Contractor)
Number of Indigenous Apprentices (=Tenderer + Sub-Contractor)
Total number on the job:
Apprentice Details
2.3.2 / Tenderers to state the number, trade type, apprentice name and duration employed by tenderer and/or sub-contractor (tenderer to nominate) and to state if and where they will be utilised in the execution of this scope of works.Employer
(Tenderer or Sub-Contractor) / Name
(Name of Apprentice) / Apprentice Contract No. / Period of Employment (How long have they been employed) / Trade Year
(What year of qualification are they currently in) / Trade Type / Where will they be utilised for this requirement?
Signed: ……………………..Date / /2014
SECTION C – TENDER RESPONSE FORMS Return this formPage C1
/ CentralDesertRegional Council1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
RESPONSES TO ASSESSMENT criteria – ITEM F
NOTE: Add lines or an attachment if more space is required
3Capacity
3.1Financial
3.1.1 / Details of Tenderer’s processes and procedures to ensure payment of employees, sub-contractors and creditors.3.2Risk Management
3.2.1 / Details of Performance Management or Quality Management systems and standards implemented by the Tenderer.3.2.2 / Details of risk management or contingency plans that will be implemented by the Tenderer in delivery of the Works.
3.2.3 / Detail any legal action pending that may impact the Tenderer’s ability to meet the requirements of the Request for Tender.
TENDER RESPONSE – ITEM G
LIST OF PROPOSED SUB-CONTRACTORS
NAMETRADE:
ADDRESS
Phone:Facsimile:
NAMETRADE:
ADDRESS
Phone:Facsimile:
NAMETRADE:
ADDRESS
Phone:Facsimile:
NAMETRADE:
ADDRESS
Phone:Facsimile:
NAMETRADE:
ADDRESS
Phone:Facsimile:
NAMETRADE:
ADDRESS
Phone:Facsimile:
RESPONSES TO ASSESSMENT criteria – item H
4OPPORTUNITIES OFFERED TO PROVIDE ABORIGINAL EMPLOYMENT AND TRAINING
I/We offer to provide the following opportunities for aboriginal employment and training in undertaking the works as tendered:
Anticipated hours of indigenous employment and training provided in delivering this tender.WORK HEALTH AND SAFETY (WHS) MANAGEMENT PLAN PROPOSAL – ITEM I
The Tenderer must provide the following information in respect to its Work Health and Safety Management Plan (refer clause25 of the Conditions of Tender and clause 8aunder annexure to part B Contract Conditions ofAS4906)
1 / Do you have a documented Work Health and Safety Management Plan in place? / YES / NO2 / If you have a documented Work Health and Safety Management Plan in place, is it modeled on a particular standard? Provide details.
3 / Who is your nominated Work Health and Safety Management Officer
Name
Position / Phone No
4 / What arrangements are in place for consultation, cooperation and coordination?
5 / What arrangements are in place for ensuring adequate health and safety training and induction training?
6 / What arrangements are in place for managing any work health and safety incidents, including reporting and incident notification?
7 / Any project specific health and safety rules and the arrangements for ensuring that all persons involved with the Works are informed of these rules?
Signed: ……………………..Date / /2014
SECTION C – TENDER RESPONSE FORMS Return this formPage C1
/ CentralDesertRegional Council1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
WORK HEALTH AND SAFETY (WHS) MANAGEMENT PLAN PROPOSAL (cont)
8 / What arrangements are in place to identify, assess and control hazards and risks?9 / What arrangements are in place to collect and assess, monitor and review safe work method statements?
10 / Do you have any further relevant details of your Workplace, Health and Safety Management Plan? Attach an additional sheet if required.
Signed: ……………………..Date / /2014
SECTION C – TENDER RESPONSE FORMS Return this formPage C1
/ CentralDesertRegional Council1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
TENDER RESPONSE – ITEM J
COLLUSIVE TENDERING DECLARATION & TENDER OFFER
I/We
Full Name:Company
Address
Hereby declare and represent to the Central Desert Regional Council that in connection with my/our tender.
I/We:
- have not contravened nor will contravene any provision of the Trade Practices Act, 1974 (as amended or substituted from time to time); and
- have not colluded nor will collude with any person as to the terms or conditions of my/our tender or that person’s tender for those works,
And acknowledge that the CentralDesertRegional Council:
- will in entering into a contract with me/us pursuant to acceptance of my/our tender rely on the representations contained in this declaration; and
- will seek to recover costs of losses or damage if those representations are false.
I/We hereby tender to perform the work in accordance with these Tender Documents for the lump sum identified in Item B above.
Signed: / Date: / /2014Print Name
Witness: / Date: / /2014
Print Name
Company or Common Seal:
Signed: ……………………..Date / /2014
SECTION C – TENDER RESPONSE FORMS Return this formPage C1
/ CentralDesertRegional Council1Bagot Road Alice SpringsNT 0870
PO Box 2257Alice SpringsNT 0871
T:08 8958 9500 F: 08 8958 9501
TENDER RESPONSE – ITEM K
FORMAL INSTRUMENT OF AGREEMENT
AGREEMENT made this ……….…………day of ………………………..2014(Principal to complete on acceptance)
BETWEEN…………………………………………………………………
(the Contractor)
ANDCentralDesertRegionalCouncil
(the Principal)
IT IS AGREED that the annexed documents listed below:
Tender Response Forms
Contractor’s Tender Offer, and;
Conditions of Contract
AS4906 – 2002 Minor Works Contract Conditions and Annexures A and B, and;
(Agreement signed and all pages initialled by parties).
Documents and Specification
CentralDesertRegional Council Tender Documents Project Number and corrective circulars numbered…
and evidence of Insurance Coverage as specified in Item A of the Tender Documents;
shall comprise the contract between the parties AND if the Contractor or the Principal is two or more persons then they shall be bound jointly and severally.
Signed for and on behalf of the Contractor:
(Tenderer to complete with submission)
By (signature)…………………………………………………… Company Seal
Name (print name) ……………………………………………..
Office Held: …………………………………………………….
Witnessed By (signature): ……………………………………..
Name (print name): ………………………………………………
Signed for and on behalf of the Principal:
(Principal to complete and sign on acceptance)
By (signature) ………………………………………… Common Seal
Name (print name) ……………………………………………..
Office Held: …………………………………………………….
Witnessed By (signature): ……………………………………..
Name (print name): ………………………………………………
Signed: ……………………..Date / /2014
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