Statutory and Government requirements Fees, charges and approvals Mentioned in clause 12 Approvals that have been obtained or will be obtained, and fees and charges that have been paid or will be paid, by the Principal are: » (“None obtained or paid by the Principal” applies if not filled in). Compliance with NSW Government guidelines A - Work Health and Safety (WHS) Mentioned in clause 15 Is the Contractor required to implement a Corporate WHS Management System acceptable to the Principal? (Yes/No) » (“Yes” applies if not filled in). Is the Contractor required to submit a WHS Management Plan in accordance with the WHS Regulation 2011 (NSW)? (Yes/No) » (“Yes” applies if not filled in). If required, the WHS Management Plan must be provided: (“not less than 14 days before starting work on the Site” applies if not filled in) B - Workplace Relations Mentioned in clause 15 Is the Contractor required to submit a Workplace Relations Management Plan? (Yes/No) » (“Yes” applies if not filled in). If required, the Workplace Relations Management Plan must be provided: » (“within 14 days after the Date of Contract” applies if not filled in). C - Quality Management Mentioned in clause 15 Is the Contractor required to implement a certified Quality Management System? (Yes/No) » (“Yes” applies if not filled in). Is the Contractor required to submit a Quality Management Plan? (Yes/No) » (“Yes” applies if not filled in). If required, the Quality Management Plan must be provided: » (“before starting design or construction
B - Australian Government Building and Construction OHS Accreditation Scheme Mentioned in clause 17 Is the Contractor required to maintain accreditation under the Australian Government Building and Construction OHS Accreditation Scheme? » (“No” applies if not filled in) Principal contractor Mentioned in clause 16 Usually the Contractor will be required to be the Principal Contractor. If another Contractor is to be the Principal Contractor then insert “No”. Is the Contractor appointed as principal contractor? (Yes/No) » (“Yes” applies if not filled in). Working hours and working days Mentioned in clause 18 Working hours and working days are: » (“to comply with Statutory Requirements” applies if not filled in). Liability Limitation of liability Mentioned in clause 26.8 Where no more precise estimate of a reasonable limit is available, insert the sum of the amounts in Contract Information Items 21, 22 and 24. Subject to clause 26.9, the limit of the Contractor’s liability to the Principal in respect of any one occurrence in connection with loss or liability other than personal injury or death is: $ » (“The Contractor’s liability is unlimited” applies if not filled in) Proportionate liability Mentioned in clause 26.12 Is proportionate liability excluded from the Contract? (Yes/No) » (“Yes” applies if not filled in). Insurance Works insurance Mentioned in clauses 27.1 & 27.2 The party responsible for effecting Works insurance is: » (“the Principal” applies if not filled in). Minimum cover is: $» (“the Contract Price plus 15%” applies if not filled in).
Period of cover is: » (“until issue of the Final Payment Schedule” applies if not filled in). Public liability insurance Mentioned in clauses 27.1 & 27.2 The party responsible for effecting public liability insurance is: » (“the Principal” applies if not filled in). Minimum cover is: $» (“$20M” applies if not filled in). Period of cover is: » (“until issue of the Final Payment Schedule” applies if not filled in). Workers compensation insurance Mentioned in clause 27.3 Minimum cover is: as required by law. Period of cover is: until issue of the Final Payment Schedule. Professional indemnity insurance Mentioned in clause 27.3.2 Is a professional indemnity insurance policy to be held by the Contractor? (Yes/No) » (“Yes” applies if not filled in). Minimum cover is: $500,000 or 20% of the Contract Price, whichever is the greater, to a maximum of $5 million. Period of cover is: until issue of the Final Payment Schedule. Marine liability insurance Mentioned in clause 27.3.3 Minimum cover is: $5 million for any one occurrence. Period of cover is: the whole of the period of use of waterborne craft of 8 or more metres in length on work in connection with the Contract. Contract Documents Other Contract Documents Mentioned in clause 7.1.5
B - Person to select the Valuer Mentioned in clause 35 The person is: » Telephone number: » Facsimile number: » C - Litigation Threshold Mentioned in clause 35 The threshold amount for litigation following a Valuer’s determination is: » (“$100,000” applies if not filled in). Expert Determination Time to refer Issue to Expert Determination Mentioned in clause 70 The time within which either party may refer an Issue to Expert Determination is: » (“28 days after becoming entitled under clause 70.2” applies if not filled in). Expert Determination representative Mentioned in clause 71 The representative of the Principal for all of the purposes in clause 71, and under Schedule 5 (Expert Determination Procedure) is: » (“the Principal's senior executive shown in Contract Information item 7 until the Principal notifies otherwise” applies if not filled in). Office address: (for delivery by hand) » (“as shown in Contract Information item 7” applies if not filled in). Postal address: (for delivery by post) » (“as shown in Contract Information item 7” applies if not filled in). Facsimile number: » (“as shown in Contract Information item 7” applies if not filled in). e-mail address: » (“as shown in Contract Information item 7” applies if not filled in). Person to nominate an Expert Mentioned in clause 71
Schedule 3 Payment Claim Worksheet Refer to clause 58 of the GC21 General Conditions of Contract. The Contractor: ...…………………….………….………………… ABN ……………………………………….…… The Contract: The contract between the Principal and the Contractor Contract Name: » Contract Number: » 1 2 3 4 5 Activity (& Milestone) to suit schedule of prices and/or activities Milestone & activity number Value of activity (or Milestone) $ Activity (or % Activity (or Milestone) completed value $ (col 3 x col 4) Amount brought forward from previous sheet $ Amount carried forward to next sheet $ 1 2 3 4 5 Item or activity to suit Schedule of Rates Item or activity number Price or rate for item or activity $ Quantity completed Item or activity completed value $ (col 3 x col 4) Amount brought forward from previous sheet $ Amount carried forward to next sheet $ Complete this section on the last sheet only Subtotal for any Schedule of Rates items $ Subtotal for any lump sum items $ $ $ $ $ Value Completed $ Less payments already made $ Less retention for the Completion Amount under clause 60, if applicable $ Claimed Amount $
Evaluation trends: scenarios The Team ratings for each topic are recorded here so that overall performance can be assessed. Contract name: …………………….. Contract number: …………………….. Date: …………………….. Rating system 5 excellent 4 above expectation 3 meeting expectation 2 below expectation 1 unsatisfactory Meeting number 1 2 3 4 5 6 7 8 9 10 11 12 month year Deteriorating Performance Communication 5 4 3 2 1 Steady Performance Communication 5 4 3 2 1 Improving Performance Communication 5 4 3 2 1