Contact person for any tender discussions: (to be specified as the Supplier Officer Representative in any Offshore Oil Stock Ticket Contract (Appendix 3) entered into with the Department) Name: Position: Phone: Email: Person to sign any Offshore Oil Stock Ticket Contract and provide evidence of authority to sign contract: (to sign any Offshore Oil Stock Ticket Contract (Appendix 3) entered into with the Department) Name: Position: Phone: Email: Attach evidence of authority to sign any Offshore Oil Stock Ticket Contract Confirmation that information provided and confirmed by the tenderer in the Registration process (including the of the terms of Offshore Oil Stock Ticket Contract) remains accurate: Yes or No Contracted Quantity Type of Product: (section B, paragraph 2) Type of Product specification and/or grade: (typical crude types if tendered stock is crude oil) (section B, paragraph 2) Confirmation that the tenderer exclusively owns the Contracted Quantity: (section B, paragraph 2) Yes or No Proposed Contracted Quantity (in metric tonnes), including volume within each Tranche (if there are multiple) and any minimum acceptable volume: (section B, paragraph 3) If applicable: Tranche One Tranche Two Stock: Monthly Fee Monthly fee (USD/tonne/month): (section B, paragraph 7) If applicable: Tranche One Stock: Tranche Two Stock: Details of any applicable taxes, imposts, levies and duties on the holding of the Contracted Quantity (including any value added taxes): (specify the nature and rate of any such taxes etc. and when these become payable - section B, paragraph 8) Term Contract Term: (See Contract Term in the RFT Summary of Requirements on the page) Storage Location
Signed for and on behalf of the tenderer by a duly authorised representative who warrants that they have authority to sign this Request for Tender Response Form. ________________________________ Authorised Signatory Name:__________________________ Position:_________________________ Date:___________________________ Appendix 2 - Onshore Stock Request for Tender Response Form Completed Request for Tender Response Forms must be submitted via AusTender by the Tender Closing Time. See clause 6(d) of the RFT for the formats permitted by the Department. References in this form to sections, paragraphs and the “summary of requirements” are references to sections, paragraphs and the summary of requirements in the RFT. Please include additional information where it would add clarity and value to the Department in assessing your tender. Tenderer Name of tenderer: ABN (or ACN): Registered business address of tenderer: Contact address for notices: (to be specified in any Onshore Oil Stock Ticket Contract (Appendix 4) entered into with the Department) Title: Address: Fax: Email: Contact person for any tender discussions (to be specified as the Supplier Officer Representative in any Onshore Oil Stock Ticket Contract (Appendix 4) entered into with the Department) Name: Position: Phone: Person to sign any Onshore Oil Stock Ticket Contract and provide evidence of authority to sign contract: (to sign any Onshore Oil Stock Ticket Contract (Appendix 4) entered into with the Department) Name: Position: Phone: Email: Attach evidence of authority to sign any Onshore Oil Ticket Contract