Request for Application: Request for Applications to Join a Panel of Suppliers – Technical Services Deadline: 4pm, Friday 10 November 2017 Address for Delivery: Tender Box Shire of Dandaragan Administration Centre 69 Bashford Street PO Box 676 JURIEN BAY WA 6516 (Electronic mail and facsimile applications will not be accepted) RFA Number: 03/17
Contractor or Panel Member: Means the person or persons, corporation or corporations whose Application is accepted by the Principal, including the executors or administrators, successors and assignments of such person or persons, corporation or corporations. Deadline: The deadline for lodgement of your Application as detailed on the front cover of this Request. General Conditions of Contract: the General Conditions of Contract for the Panel of Pre-Qualified Suppliers – Technical Services provided or nominated in Part 4. Offer: Your offer to supply the Requirements. Panel of suppliers: Has meaning given to it in Regulation 24AA of the Local Government (Functions
and General) Regulations 1996. Pre-qualified Supplier: Has meaning given to it in Regulation 24AA of the Local Government (Functions and General) Regulations 1996. Principal: Shire of Dandaragan Request OR RFA OR Request for Application This document. Requirement: The Panel of Pre-Qualified Suppliers – Technical Services requested by the Principal. Selection Criteria: The Criteria used by the Principal in evaluating your Application. Special Conditions: The additional contractual terms as nominated in Part 5. Specification: The Statement of Requirements that the Principal requests you to provide if selected. Request Documents This Request for Application is comprised of the following
Principal’s Representative Means any Officer of person duly authorised by the Principal, in writing, to act on their behalf for the purpose of the Contract; Works or Services: Means the Services, which the Contractor is required to provide to the Principal and the Contractor under the Contract;
Insert details (c) Is any litigation relating to the Applicant pending at the date of this Request? If yes, summarise and comment on the likely outcome. Yes/No Insert details Contractor’s Occupational Safety and Health Management System Questionnaire This questionnaire forms part of the Principal’s evaluation process and is to be completed by Applicants and submitted with their Application submissions. The objective of the questionnaire is to provide an overview of the status of Contractor’s safety management systems. Contractors may be required to verify their responses noted in their questionnaire by providing evidence of their ability and capacity in relevant matters. Occupational Safety and Health Yes No Is there a written company Health and Safety Policy? If Yes, provide a copy of the policy. ☐ ☐ Does the company have an OSH Management System? If Yes, provide details: Insert details ☐ ☐ Has the company prepared Safe Operating Procedures or specific safety instructions relevant to its operations? If Yes, provide a summary listing of procedures or instructions. Insert details ☐ ☐ Are safe operating procedures or specific safety instructions issued to employees? If Yes, explain how this is done. Insert details ☐ ☐ Is there a procedure by which employees can report incidents and hazards at workplaces? ☐ ☐ Do Incident Reports contain prevention recommendations? ☐ ☐ Describe how Safety and Health Training is conducted in your company? Insert details