QUOTE AND ORDER FORM

STEP 1: SCHOOLS REQUEST TO CONTRACTOR – CUA ELC 2012

TO: Alinta Sales Pty Ltd / Electricity Generation & Retail Corp (T/A Synergy) / Perth Energy Pty Ltd

(Check the appropriate boxes and complete the information for each section below)

Request for Quote: This is in accordance with Schedule 6 ‘Buying Rules’ of CUA ELC 2012. Consent is given to the Contractor to obtain electricity usage profiles from Western Power for the customer sites below. The Contractor shall provide complete price details for the Services requested below. Contractor to forward this form with quoted prices electronically to the Customer.

Order: The Customer accepts the Offer and submits this Order Form in accordance with the Head Agreement of CUA ELC 2012.

RFQ / Order Number: / Leave blank if you do not use this. / Date: __/__ /20__
Customer Contract Term / 2 Years / Commencement date:
__/__ /20__ / End date:
__/__/20__

QUOTE AND ORDER FORM

Retail Electricity Services Requirements
Specify site name, address, NMI, meter no, estimated usage per annum, pricing type required and any comments

QUOTE AND ORDER FORM

QUOTE AND ORDER FORM

1.  Bundled Price quotation is required for the school listed below.
2.  NMI and meter number is provided in the table below. Respondents shall verify correctness of all NMI information when providing the quotes.
3.  Respondents shall quote a 1st Year Total Price.
School Name / School Address / NMI / Meter No.
XXX School / XXXXXXXXXX / 8______

QUOTE AND ORDER FORM

Invoicing & Payment / Customer will pay invoice within 30 days.
All invoices are to be mailed to: ______(Attn: ______).
Email electronically to:
Specify when, where and to whom to return quotes
Please respond are by 4.00PM Date: __/__/20__ to:

QUOTE AND ORDER FORM

School:
Authorised Purchaser: / Signature: / Date: __/__/20__
E-mail: ___ / Fax number: / Phone number:

STEP 2: CONFIRMATION BY CONTRACTOR

TO: AUTHORISED PURCHASER CC: NAME OF CUSTOMER / DEPARTMENT

Quoted prices attached Other details attached: SPECIFY DETAILS OF ATTACHMENT AND INFORMATION AS REQUIRED.

Supplier: NAME OF SUPPLIER
Name: SUPPLIER REPRESENTATIVE NAME / Signature: / Date: 20-Jun-13
E-mail: EMAIL OF SUPPLIER REPRESENTATIVE / Fax number: Facsimile Number / Phone number: Telephone Number

QUOTE AND ORDER FORM

QUOTED PRICE ATTACHMENTS (For Supplier to quote prices and consumption, attach and return to requesting Customer)

SCHOOL NAME: / NMI: 8______
SCHOOL ADDRESS: / METER NUMBER:
Bundled Pricing / GST Exclusive Rates tendered / Price Variation and notes
Retail Service Fee per Calendar day per metered site, including supply, retail administration and reporting charges etc. / $ perday per meteredsite / The quoted $/day when multiplied with the total number of days in an electricity bill = the total Retail Service Fee on the electricity bill.
On-Peak Energy Rate / Year 1 Cents /kWh:
Year 2 Cents /kWh: / Bundled rates
Off-Peak Energy Rate / Year 1 Cents /kWh:
Year 2 Cents /kWh:
1ST Year Total Price (GST Exclusive) / $ / Note that the total quoted here is an estimate based on the annual consumption data obtained by the contractor.
Annual
Consumption / On Peak KWh ______ / Off Peak KWh ______

Please note that under the terms of the CUA:

(1) The Price is fixed for the first year of the Term.

(2) On each anniversary of the Contract Commencement Date, the Price may be varied by the Consumer Price Index (Consumer Price Index, Australia (Cat No 6401.0): 1 All Groups, Index Numbers – Perth).