request for quotation - strathfield council · request for quotation ... any particular order and...
TRANSCRIPT
Request for Quotation Relocating of State Emergency Services Demountable Sheds 1 Weeroona Road, Strathfield, NSW, 2135
VERSION: 1 ISSUE DATE: 17th March 2016 CLOSURE DATE: 31st March 2016
Please register your interest with the
contact person via email at the same time as downloading the document, so the Council can send you any announcements that are
relevant to this Request for Quotation.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
Contents 1.0 INTRODUCTION ............................................................................................................. 3 2.0 OVERVIEW OF REQUEST PROCESS ........................................................................... 3
2.1 Outline of Request Process ........................................................................................... 3 2.2 Indicative Timetable....................................................................................................... 3 2.3 Lodgement of Tenders and Delivery Method ................................................................ 4 2.4 Place to Lodge Responses ........................................................................................... 4 2.5 Information to be Submitted with the Response ........................................................... 4
3.0 EVALUATION OF PROPOSALS .................................................................................... 5 3.1 Assessment and Evaluation of Proposals ..................................................................... 5 3.2 Evaluation Criteria ......................................................................................................... 5 3.3 Reservations of Council ................................................................................................ 5 3.4 Rejection of Responses ................................................................................................ 5
4.0 SITE INFORMATION ....................................................................................................... 6 4.1 Site Location and Identification ..................................................................................... 6 4.2 Site Features ................................................................................................................. 6 4.3 Background ................................................................................................................... 6
5.0 SCOPE OF SERVICE ...................................................................................................... 7 5.1 Required Works ............................................................................................................. 7 5.2 Project Cost ................................................................................................................... 8 5.3 Project Timelines ........................................................................................................... 9 5.4 DELIVERY ................................................................................................................... 10
6.0 CONTRACTOR RESOURCE REQUIREMENTS, QUALIFICATIONS AND ACCREDITATIONS ....................................................................................................... 15 6.1 Relevant Experience ................................................................................................... 15 6.2 License and Qualifications .......................................................................................... 15
7.0 WORK REQUIREMENTS .............................................................................................. 11 7.1 Tender Briefing/ Site Inspection .................................................................................. 11 7.2 Project Insurance Requirements ................................................................................. 11 7.3 Public Properties Protection ........................................................................................ 12 7.4 Materials and Workmanship ........................................................................................ 12 7.5 Mains and Services ..................................................................................................... 13
8.0 SITE MANAGEMENT PLAN ......................................................................................... 14 8.1 Hours of operation ....................................................................................................... 14 8.2 Site access .................................................................................................................. 14 8.3 Noise ........................................................................................................................... 14 8.4 Air quality ..................................................................................................................... 14 8.5 Waste and water management ................................................................................... 14 8.6 Site signage and contact numbers .............................................................................. 14 8.7 Complaint reporting and resolution ............................................................................. 14
9.0 ENQUIRIES ................................................................................................................... 16 9.1 Nominated Contact Officer .......................................................................................... 16
1.0 IN
Strathfielquotationdemonstincluding
It is impoqueries rProject M
2.0 OV
2.1 O
By this Rof this Reset out in
The Reqclarificati
At the enprovide t
2.2 In
The indicTable 1: In
Is
C
R
Q
A
A
A
RELOCAT
NTRODUCT
ld Municipal n (RFQ). Ctrate their cag disconnectio
ortant that Aregarding thiManager (Ras
VERVIEW
utline of R
Request, inteequest. Then section 2.5.
quest Procesion requests
nd of the Reqthe Services
ndicative T
cative timetabndicative Timeta
ssue of Requ
Close Date
Register to Q
Quotation Site
Assessment a
Approval
Appointment
ING OF STAAt 1
TION
Council (CCouncil is seapacity, capon of existing
Applicants uns Request foshad Danoun
W OF REQU
Request Pr
erested perso Proposals w.
ss may invoand detailed
quest Procesand the Deliv
Timetable
ble for the Reable
uest for Quot
uotation Site
e Meeting
and Evaluatio
of Successfu
REQUESATE EMER1 WEEROO
ouncil) is ineeking propopability and g utilities.
nderstand anor Quotationn).
UEST PRO
rocess
ons are invitewill be assess
olve more thd negotiations
ss, the Counverables.
equest Proce
tation
e Meeting
on of Propos
ul Applicants
ST FOR QURGENCY SEONA ROAD
nviting qualifosals from sexperience
nd commit to (“RFQ”) sho
OCESS
ed to submit sed and eval
han one phas with one or
cil anticipate
ess is as follo
17
31
21
23
sals 5 A
15
20
UOTATIONERVICES D, STRATHF
ied and expsuitably quain relocation
o the high leould be direc
proposals inluated in acc
ase includinr more select
es that a Suc
ows:
March 2016
March 2016
March 2016
March 2016
April 2016
April 2016
April 2016
DEMOUNTAFIELD
perienced firlified consuln works of
evel of serviccted to the C
n accordancecordance with
g requests ed Applicant
cessful Appl
6
6
6
6
ABLE SHED
ms to this rtants who ademountable
ce that is reqCouncil’s Env
e with the reh the Evaluat
for further its.
icant will be
DS
request for are able to e buildings
quired. All vironmental
quirements tion Criteria
nformation,
selected to
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
2.3 Lodgement of Tenders and Delivery Method
The fee proposal must be lodged by the Deadline. The Deadline for the Request is Thursday 31 March 2016, by 4pm
2.4 Place to Lodge Responses
Council prefers that completed responses are submitted via email to the contact person [email protected]. Council also accepts response by mail or lodged in person. A CD or USB soft copy must also be included.
Responses are to be placed in a sealed envelope. The envelope must be clearly state: “Relocating of State Emergency Services Demountable Sheds, 1 Weeroona Road, Strathfield, NSW, 2135” and mailed to: Strathfield Council, PO Box 120, Strathfield NSW 2135 or submitted by hand to Customer Service at Strathfield Council Administration Building, 65 Homebush Road, Strathfield NSW 2135 (Attention to Rashad Danoun).
2.5 Information to be Submitted with the Response
The Applicant/s must submit the following documents as part of its Response:
• Proposal with detailed scope of services for every task of the project;
• Lump sum with detailed cost for each stage of the work;
• Complete schedule of rates;
• Evidence of insurance coverage;
• Completed RFQ Attachments/Appendences;
• Signed Copies of Council Policies;
• Contract and Departures;
• Project Timeframe.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
3.0 EVALUATION OF PROPOSALS
3.1 Assessment and Evaluation of Proposals
The Evaluation Criteria outlined below will be used to assess and evaluate the Proposals. The Applicant/s must provide the information requested by this request in sufficient detail to allow for the assessment and evaluation process. As part of the evaluation and assessment process, the Council may:
Request clarification or further information concerning any Proposals; and Invite Applicant/s to present to Council or participate in interviews or workshops to further
demonstrate their capability to undertake the Services and the Deliverables.
3.2 Evaluation Criteria
Proposals will be assessed by reference to the following Evaluation Criteria. These criteria are not listed in any particular order and are not necessarily exhaustive, and may not be given equal weight.
Capability to complete the work and past experience in the region or elsewhere in similar projects; Understanding of the requirements presents high competency in completing the work in an
outstanding safe manner. All applicants must submit the Safety Management System and generic safety documentation for Council to assess during the criteria assessment;
Scope of service and detailed methodology; and Project cost.
The evaluation of the Proposals will be based on the receipt of all information requested in or by virtue of this Request.
3.3 Reservations of Council
The Council reserves the right at any time to:
Accept, reject or exclude any Proposal; Select Applicants to enter into detailed negotiations with the Council or submit further proposals to
the Council; Accept all or any part or parts of any Proposal or Proposals, including Proposals which are not
Conforming Proposals; and Appoint Successful Applicant/s.
The Council is not bound to accept the lowest or any Proposal.
3.4 Rejection of Responses
A response will be rejected without consideration of its merits in the event that:
It is not submitted before the Deadline; or It is not submitted at the place specified in the Request.
The Principal may reject any Non-Conforming Response.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
4.0 SITE INFORMATION
4.1 Site Location and Identification
The SES demountable sheds are located at Strathfield Council Depot at 1 Weeroona Road, Strathfield (the Site). The site is proposed to be demolished in preparation for reconstruction in that location. The site details are summarised in Table 2 below. The site location is shown in Figure 1.
4.2 Site Features
The demountable sheds consists of:
• Two connected sheds, south to north, comprising a steel roof and outstructure; • Kitchen and offices.
Table 2: Site Identification
Site Details Comments
Site Address 1 Weeroona Road, Strathfield, NSW 2135
Site Identification LOT 70 DP 1140766
Local Government Strathfield Municipal Council
Site Zoning General Industrial (IN1) Public Recreation under Strathfield Council LEP (2012)
Current Use State of Emergency Services Offices
Buildings/Sheds dimensions An indicative dimensions of the building are: 28m long x 10m wide x 3m high
Proposed Use Offices and structure
Site Area Approximately 180 m2 excluding the ramp and the stairs
4.3 Background Council is proposing the relocation of the existing SES demountable sheds located to the west of the Strathfield Council Depot site located at 1 Weeroona Road, Strathfield, to a new location at the same site as indicated in Figure 2.
The demountable buildings are used as offices and associated amenities. These sheds are currently located under high voltage 32,000 kV cables and is required under the safety legislation to be relocated to another location.
Development Application for the works was lodged by the Council and approval will be obtained prior to commencing the works on the site.
5.0 SC
5.1 Re
Council based on
Oc
Ot
Applican
5.1.1
Successfcompetespecificareview pr
5.1.2
An initiallocated aCouncil’scommen
5.1.3
Successf
The sucincluding
Odp
Ow
OtC
Any dela
Council’s
RELOCAT
COPE OF
equired W
is seeking pn either of the
Option 1: Recarpark; or Option 2: Rethe buildings/
t/s are invited
Subm
ful applicantncy to com
ally to this prorior to comm
Proje
Project siteat 1 Weeroons representacement of th
Obta
ful Applicant’
ccessful appg but not limit
Obtain the apduring the reproposed. A Obtain the reweekend; Obtain any rthe commenCouncil resp
ay of the wo
s Responsibi
ING OF STAAt 1
SERVICES
Works
proposals froe options bel
elocating the
elocating the /sheds along
d to submit d
missions of
t is requiredmplete the woject must beencement of
ect commen
e meeting wilna Road, Straatives to dise relocation.
aining the re
’s Responsib
licant is reqted to the foll
pproval/authelocation proc
full traffic maequired appro
required apncement ofponsibility.
ork due to ob
lity
REQUESATE EMER1 WEEROO
S
om firms expow (refer to
e buildings/sh
buildings/shg Weeroona R
detailed prop
all safety do
d to submit work in an oe submitted tf any works.
ncement site
ll be held witathfield. Thescuss projec
equired appr
bility
quired to obowing:
orisation fromcess betweeanagement poval from NS
proval/authof the reloca
btaining any
ST FOR QURGENCY SEONA ROAD
perienced in Figure 2):
heds using a
heds using trRoad to the n
osals with sc
ocumentatio
fully detaileoutstanding o the Counci
e meeting
thin 7 days oe meeting wilct stages an
roval for the
btain and co
m Road and n Saturday 2plan and RouSW Police to
orisation to ation works
y of the abov
UOTATIONERVICES D, STRATHF
the relocatio
a crane that
ruck and hounew location
cope of servic
ons
ed safety dsafe manne
il within 7 da
of the appoill be held betnd all requir
e works
omplete all t
Maritime Se28th May 12:ute Survey mo utilise and c
complete ts excluding
ve will be th
DEMOUNTAFIELD
on of demou
can be pos
use moving p.
ce as follows
documentatioer. All safeys from the a
ntment at Sttween the sured preparat
the required
ervices for ut00pm and S
must be compcomplete the
he works atitems men
e responsib
ABLE SHED
untable shed
itioned in th
platform trail
s:
ons that preety documeappointment
trathfield Couuccessful contion tasks p
approval/au
tilising WeerSunday 29th 1pleted (if reque work on the
t least a weentioned bel
bility of the c
DS
ds/buildings
e adjoining
er to move
esents high nts related for Council
uncil Depot ntractor and prior to the
uthorisation
roona Road 12:00pm as uired); e proposed
ek prior to ow in the
contractor.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
• Council will obtain the approval for the outage of the high voltage cable from the NSW State Rail prior to the commencement of the Works; Council has submitted a proposal to the State Rail for the outage approval as the work to be carried out between Saturday 28th May 12:00pm and Sunday 29th 12:00pm. The approved date will be announced once the approval is granted from NSW State Rail;
• Council has obtained the approval from Viva Energy Australia and Corrosion Control Engineering will be onsite to supervise the work during the relocation process;
• Council will organise for all the utilities and services associated with the sheds/buildings to be completely disconnected a day prior to the relocation;
• Council will organise to disconnect the ramp from the sheds/building a week prior to the relocation work.
5.1.4 Site work conditions
Successful contractor is responsible to ensure the following:
• Safely barricade/fence the work area and maintain site safety conditions; • Ensure the work is undertaken in appropriate method that does not have impact on other activities
at the Council Depot; and • Clear communication with Council Project Manager and Council Depot Coordinator to minimise
any impact of the Works on the Council’s activities.
5.1.5 Relocation Works
The works involve relocating the SES demountable sheds/buildings as shown in Figure 1 based on either of the options below (refer to Figure 2):
• Option 1: Relocating the buildings/sheds using a crane that can be positioned in the adjoining carpark; or
• Option 2: Relocating the buildings/sheds using truck and house moving platform trailer to move the buildings/sheds along Weeroona Road to the new location.
This work includes recycling the existing piers over to the new site and relay them on to the semi flat concrete surface (the base of the current proposed building to be demolished).
The demountable buildings/sheds can be moved in one or two stages. Council would require a full detailed scope of service on the method to relocate the buildings/sheds.
5.2 Project Cost
The Applicant/s are required to submit a lump sum with detailed project cost for each task of this project. Applicant/s are also required to submit schedule of rates as per Attachment A. Any charge not stated in the fee proposal under schedule of rates, as being additional will not be allowed as a charge for any transaction under any resultant Contract.
The Contract lump sum shall:
Be a Inclu
prop Inclu Inclu
5.2.1
Any and preparatiincluding
Disc The Any
varia
must be
5.3 Pr
The workof the oumeet the
Table 3: Pr
Event / T
Submissidocumen
Project csite mee
Obtaininapprova
Relocatio
Complet
The Contcommena compleresponse
RELOCAT
a fixed lump ude all costs posal; ude all costs ude all costs
Appl
all costs andion and subm
g:
cussions, pre provision of
y consequentations to this
entirely born
roject Tim
k is required utage of the 3e constructio
roject Timeline
Task / Miles
ions of all santations
commencemeting
ng all requirels/authorisa
on Works
te Works
tractor is reqncement dateetion date foe.
ING OF STAAt 1
sum not subjnecessary to
necessary towhich may b
licants' cost
d expenses inmission of the
esentations, wadditional in
tial costs ands Request wh
e by the App
melines
to be compl32,000 KV ovon timeframe
tone Com
afety Withiappo
ment Wit
ed tions
Withiafter
Satu
quired to sube for the proor the project
REQUESATE EMER1 WEEROO
ject to cost flo carry out a
o carry out abe incurred b
ts
ncurred by the proposals o
workshops anformation; ord expenses inhere required
plicants.
eted in accoverhead cables with your
Anticipatedmmencement
in a week aftointment
thin the first t
in first two wethe appointm
rday 28th Ma
mit a projectposed workst. The Contr
ST FOR QURGENCY SEONA ROAD
luctuations;nd complete
ny work incidby the Contra
he Applicant/sor otherwise
nd clarificatior ncurred by thd by the Coun
rdance with es from NSWproposal.
d t Date
Ant
ter the Subwithapp
two weeks af
eeks ment. 6th M
y Sun
31st May 20
t timeframe s, proposed cractor must s
UOTATIONERVICES D, STRATHF
all of the wo
dental to the actor in carryi
s in any way in the course
on meetings;
he Applicantsncil,
the followingW State Rail.
ticipated CoDate
bmission to thhin 14 days frointment
fter the appo
May 2016
nday 29th May
016
including bucommence dsubmit a deta
DEMOUNTAFIELD
ork under the
work specifieing out the w
associated we of the evalu
s arising from
g timetable bPlease advis
ompletion
he Council rom
ointment.
y
t not limitedate for each ailed project
ABLE SHED
this RFQ an
ed in this reqwork under th
with the deveuation of a pr
m this Reques
based on these of your ab
Contractoor sugge
d to the stage of the timeline wit
DS
nd
quest; e Contract.
elopment, roposal,
st or any
e approval ility to
or ability estions
works and th the
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
5.4 DELIVERY
The Contractor will be responsible for any consequences resulting of not completing this project within the project timeline.
5.4.1 Contract work
All work must be completed in accordance with the Council’s General Condition of Contract attached. Any departures of the Contract must be submitted with the proposal for Council consideration and future negotiation.
5.4.2 Compliance with policies
All works must comply with the following Council’s policies:
• Business Ethics Policy
• Code of Conduct
• WH&S Policy
• Assets Management Policy
All Council policies can be found in the Council website in the link below:
https://www.strathfield.nsw.gov.au/council/council-documents/policies/
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
6.0 WORK REQUIREMENTS
6.1 Tender Briefing/ Site Inspection The quotation briefing/site inspection is not mandatory but all interested parties are strongly encouraged to attend the inspection. The briefing/inspection will be held on Wednesday 23rd March, 2016 at 10am. The location of the meeting is at Strathfield Council Depot located at 1 Weeroona Road, Strathfield NSW; entrance to the site will be through the depot entrance gate. Attendants must be appropriately attired in Hi Vis vests and/or clothing with enclosed footwear and appropriate sun protection and hats.
All visitors to the site need to sign in and out of the site within the Depot Coordinator’s Office.
The briefing/site inspection will provide applicants with the opportunity to clarify any uncertainties with the contact person prior to the closing of the RFQ.
Please confirm your attendance at this meeting with the contact person Rashad Danoun via email ([email protected]) no later than Monday 21st March, 2016.
6.2 Project Insurance Requirements The Contractor shall meet the following requirements and accept the following risks in association with any work under this specification:
The Contractor shall undertake whole risk of carrying out the Contract, and shall hold the Council indemnified against all claims arising out of any injury to any person or persons including: Contractor and/or their employees or employees of the Council; the general public; or damage to any property whatsoever, whether caused by use of plant when driven or operated by Contractor or their employees or any other person whether employed by Contractor, or caused otherwise whatsoever.
The Contractor shall at own expense insure and keep insured by policies of insurance during the entire period of work and lease: o Their workmen or employees pursuant to the requirements of Workers Compensation Act 1987,
with an insurer approved by the Council with an unlimited common law cover;
o Plant against damage to it or loss by theft, whether the same shall be caused by acts or defaults of the Council or its servants or otherwise whatsoever.
o Against any injury to any third party or parties or damage to any property whatsoever, caused by use of plant when driven or operated by Contractor or their employee, or caused by any person driving or operating such plant whether employed by Contractor or not. Such policy of insurance shall be in sum of at least $20,000,000.
All insurance policies shall be extended to cover legal liability of the Council as Principal. All insurance policies required, and evidence of their currency shall be produced for inspection by the Council with the response.
Applicants are required to complete the table below.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
Table 4: Insurance Requirement
Insurance Type Insurer – Broker Policy Number
Value Required ($)
Expiry Date
Public Liability $20 million
Professional Indemnity & Liability $20 million
Workers Compensation In accordance with legislation
Motor vehicle Insurance Covering Damage to Third Property $20 million
6.3 Public Properties Protection
The Contractor accepts full responsibility for public safety. The Contractor is liable for injury to any person and/or damage to any property in carrying out or as a consequence of work under Contract.
The Contractor or their employees or any other person employed by Contractor shall abide by all Occupation Health and Safety requirements.
The Contractor shall be responsible for provision and maintenance of all warning signs, barriers, temporary fencing and traffic control where necessary for protection of public from loss, damage or injury and in accordance with Australian Standard AS 1742.3-1996, while work is in progress and until works are completed. The Contractor shall meet all Work Cover and OH&S legislation that is applicable to each task and location of the work. Where obstructions remain overnight, adequate lighting shall be provided with a minimum of three lamps around any obstruction within public or Council access.
If the Contractor fails to erect and maintain adequate warning signs, temporary fencing and barriers, the Council may arrange for additional fencing and barriers at discretion of the Council’s representative. Any cost associated with this arrangement will be charged to the Contractor.
Work shall be carried out with the least possible public inconvenience, particularly in regard to pedestrian circulation. Contractor must agree to these ongoing contractual obligations.
6.4 Materials and Workmanship The Contractor shall accept condition and responsibility for all equipment and materials once delivered to site. Protect all finished work including but not limited equipment, materials, and fittings from damage until completion of all works.
The Works and finished products shall be carried out in accordance with all relevant Australian and National Standards and Guidelines including the Australian Standard and Building Code of Australia unless otherwise specified.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
Installation of all materials, equipment and fittings should be completed according to manufacturer’s specification unless otherwise specified.
6.5 Mains and Services Cost of repairs to any public utility main/cables and/or services damaged during work shall be the responsibility of the Contractor.
The Contractor is also required to comply with any service provider requirements on site.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
7.0 SITE MANAGEMENT PLAN
7.1 Hours of operation The relocating works are to be carried out on Saturday 28th May 2016 from 10:00 am to 11:59 pm and on Sunday 29th May between 12am and 5:00 pm. Other preparation works for the relocation may carried out Monday to Friday between 7:00am and 4:00 pm. Emergency work is permitted to be completed outside of these hours or on Saturday after consultation with the Council’s representative.
7.2 Site access The site access will be through the Council Depot entrance at 1 Weeroona Road, Strathfield.
7.3 Noise The work should comply with the appropriate noise guideline. Given the location of the site, noise monitoring is not required but observation of the noise conditions during the work will be necessary.
7.4 Air quality During the work, wastes may require to be wetted during dry weather using water spray to minimise potential dust generation.
7.5 Waste and water management Waste and sediment management is the contractor’s responsibility and is required to be managed in accordance with the appropriate environmental guidelines including recycling of the existing piers.
7.6 Site signage and contact numbers Signs shall be displayed throughout the duration of the works on the access gates with the contact details of the Contractor and Council Representative Manager. Council should be notified with all contractors’ workers details at least 7 days prior to commencing work on the Site.
7.7 Complaint reporting and resolution Any complaints from public, adjoining site occupants and/or workers on the Site should be directed immediately to the Council Representative.
REQUEST FOR QUOTATION RELOCATING OF STATE EMERGENCY SERVICES DEMOUNTABLE SHEDS
At 1 WEEROONA ROAD, STRATHFIELD
8.0 CONTRACTOR RESOURCE REQUIREMENTS, QUALIFICATIONS AND ACCREDITATIONS
Council is calling for quotations from experienced and qualified contractors to complete the project tasks identified in Section 5.1. Contractors must identify the following:
8.1 Relevant Experience
Applicants must describe experience in undertaking similar projects. Applicants must, as a minimum, address the following information in an attachment and label it “Relevant Experience”:
Provide details of similar projects; Demonstrate sound judgement and discretion to complete the project; and Commitment to safety and quality management and improvement programs, including WH&S
compliance, service quality etc.
8.2 License and Qualifications
All proposed employees to work on this project should have the appropriate licenses to complete the work with a valid experience in similar type of works.
Schedule of rates
Criteria Rates
Professionals Per hour $
Project Manager
Site Supervisor
Operator
Labor
Other:
Machinary Per Hour/Day $
Truck
Trailer
Crane
Others:
Other charges** Rate
1)
2)
3)
4)
5)
6)
7)
8)
Notes:
** Applicants are required to submit any rate of potential variation.
Any charge not stated in the fee proposal under schedule of rates, as being additional will
not be allowed as a charge for any transaction under any resultant Contract
Any overhead charges must be identified at an hourly rate in this table
This questionnaire forms part of the Principal’s Tender evaluation process and is to be completed by tenderers and submitted with their Tenders and labelled as “Contractor’s Safety & Health Questionnaire”. The objective of the questionnaire is to provide an overview of the status of Contractor’s safety management system. Contractors may be required to verify their responses noted in their questionnaire by providing evidence of their ability and capacity in relevant matters.
WHS Policy and Management YES NO Is there a written company health and safety policy?
If Yes, provide a copy of the policy.
Comments
_______________________________________________________________
Does the company have an WH&S Management System?
If Yes, provide details.
______________________________________________________________________
Is the WH&S Management System audited or reviewed on a regular basis?
If Yes, provide details of last audit and outcomes.
________________________________________________________________
Is there a company WH&S organisation chart?
If Yes, provide a copy.
Comments
________________________________________________________________
Are Work, Health and Safety responsibilities clearly identified for all l ?
If Yes, provide details.
Are line managers held accountable for work, health and safety f ?
If Yes, provide details.
Safe Work Practices and Procedures YES NO Has the company prepared safe operating procedures or specific safety i t ti l t t it ti ?
If Yes, provide a summary listing of procedures or instructions.
Comments
__________________________________________________________________________________________________________________________________
Are safe operating procedures or specific safety instructions issued to employees?
If Yes, please explain how this is done.
__________________________________________________________________________________________________________________________________
Does the company have any permit to work systems?
If Yes, provide a copy of a standard incident report form.
__________________________________________________________________________________________________________________________________________________________________
Which company personnel are responsible for investigating incidents?
__________________________________________________________________________________________________________________________________________________________________
Do incident reports contain prevention recommendations?
Who is responsible for implementing remedial measures recommended?
Are these procedures to maintaining, inspecting and assessing the hazards of Plant operated/owned by the company?
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Are their procedures to storing and handling hazardous substances?
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Are there procedures for assessing and controlling risks associated with manual h dli ?
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Work Health and Safety
Describe how work, health and safety training is conducted in your company?
__________________________________________________________________________________________________________________________________
Provide a summary or examples of work, health and safety training courses provided for, or undertaken by employees during the past 12 months.
__________________________________________________________________________________________________________________________________
Is a record maintained of all training and induction programs undertaken for employees in your company?
If Yes, provide examples of safety training records.
__________________________________________________________________________________________________________________________________
Provide details of any company safety induction programs for company employees and or/sub contractors.
Work, Health and Safety Workplace Inspection
YES NO Are regular work, health and safety inspections at work sites undertaken?
If Yes provide details.
__________________________________________________________________________________________________________________________________
Are standard work place inspection checklist used to conduct work, health and f t i ti ?
If Yes, provide details or examples.
__________________________________________________________________________________________________________________________________
Who normally completes workplace health and safety inspections?
__________________________________________________________________________________________________________________________________
How are workplace health and safety inspection reports dealt with?
__________________________________________________________________________________________________________________________________
Is there a procedure by which employees can report hazards at workplaces?
If Yes, provide details.
Work Health and Safety Consultation YES NO
Is there a workplace health and safety committee?
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Are there guidelines on procedures governing the health and safety committee ti ?
Are there employee elected health and safety representatives
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Is there a company safety officer?
Comments:
__________________________________________________________________________________________________________________________________
Safety and Health Performance Monitoring
Is there a system for recording and analysing and safety performance statistics?
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Is safety performance on the agenda of management meetings?
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Is senior management involved in analysis of safety performance statistics?
__________________________________________________________________________________________________________________________________
Has the company ever been convicted of an work health and safety offence
If Yes, provide details.
__________________________________________________________________________________________________________________________________
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
DRAFT ONLY
GENERAL CONDITIONS OF CONTRACT
FOR THE PROVISION OF
RELOCATING STATE EMERGENCY SERVICES DEMOUNTABLE SHED
AT
1 WEEROONA ROAD, STRATHFIELD NSW 2135
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
TABLE OF CONTENTS 1 GOVERNING LAW 3
2 INTERPRETATION 3
3 EVIDENCE OF CONTRACT 5
4 RISE AND FALL ADJUSTMENT 5
5 SERVICE OF DOCUMENTS 5
6 PROVISION OF WORKS 5
7 MATERIALS, LABOUR AND CONSTRUCTIONAL PLANT 6
8 PEOPLE AND PROPERTY 6
9 QUALITY OF SERVICES 6
10 ASSIGNMENT AND SUBCONTRACTING 6
11 LEGISLATIVE REQUIREMENTS 7
12 INSURANCE 7
13 TIME FOR COMMENCEMENT AND COMPLETION 7
14 MATERIALS 8
15 CONTRACTOR’S REPRESENTATIVE 8
16 CLEANING UP 8
17 DEFECTS LIABILITY 9
18 LATENT CONDITIONS 9
19 VARIATIONS 10
20 SECURITY AND PAYMENT 10
21 LIQUIDATED DAMAGES 10
22 PAYMENT OF WORKERS WAGES AND ALLOWANCES 11
23 DEFAULT OR BANKRUPTCY OF CONTRACTOR 11
24 TERMINATION FOR CONVENIENCE 11
25 SETTLEMENT OF DISPUTES 12
26 WARRANTIES 12
27 CIVIL LIABILITY ACT EXCLUSION 13
28 WORK HEALTH AND SAFETY 13
29 SEVERANCE AND WAIVER 13
30 GST 13
31 SCHEDULE 15
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
1 GOVERNING LAW
1.1 This Contract is governed by and is to be construed in accordance with the laws of New South Wales. Each party irrevocably and unconditionally submits to the non-exclusive jurisdiction of the courts of New South Wales.
2 INTERPRETATION
2.1 For the purpose of this contract “Clause” means a clause of these General Conditions. “Contract” means these general conditions of contract, the Schedule to these general conditions of contract and any documents referenced in that Schedule.
“Contractor” means the person or persons, corporation or corporations, specified in Item 1 of the Schedule.
“Contract Sum” means:
(a) where payment is to be made on a lump sum basis, the sum which is stated in Item 5 of the
Schedule to the Contract to be payable to the Contractor for the provision of the Works and the performance of the obligations of the Contractor under the Contract;
(b) where payment is to be made on a bill of quantities or schedule of rates basis, the sum
ascertained by calculating the product of the rates and the corresponding quantities set out in the bill of quantities or schedule of rates in Items 6 and 7 of the Schedule to the Contract and adding to the sum thereof the total of any lump sums, provisional sums, contingency sums or other sums included in the bill of quantities or schedule of rates;
(c) where payment is to be made on a lump sum and a bill of quantities or schedule of rates basis,
the aggregate of the sums referred to in paragraphs (i) and (ii), But excluding any additions or deductions, which may be required to be made pursuant to the Contract.
"Date for Practical Completion" means the date stated in Item 12 of the Schedule;
"Defects Liability Period" means the period stated in Item 10 of the Schedule;
"Final Certificate" means the certificate referred to in clause 14.4;
"Good Industry Practice" means the exercise of that degree of skill, diligence, prudence, foresight and operating practice which would reasonably and ordinarily be expected from a skilled and experienced person (engaged in the same type of work to be performed by the Contractor) or any sub-contractor under the same or similar circumstances. "Item" means an Item in the Schedule;
"Latent Conditions" means any of the conditions referred to in clause 15.1; “Officer” means any officer or person authorised by the Principal and notified to the Contractor as an authorised officer for the purpose of this Contract. "Practical Completion" means that stage in the carrying out and completion of the Works when:
(a) the Works are complete except for minor defects:
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
i. which do not prevent the Works from being reasonably capable of being used for their stated purpose;
ii. which the Superintendent determines the Contractor has reasonable grounds for not promptly rectifying; and
iii. the rectification of which shall not prejudice the convenient use of the Works;
(b) those Tests which are required by the Contract to be carried out and passed before the Works reach Practical Completion have been carried out and passed;
(c) documents and other information required under the Contract which, in the Superintendent's opinion, are essential for the use, operation and maintenance of the Works have been supplied; and
(d) the Contractor has done everything which the Contract requires it to do as a condition precedent to Practical Completion.
"Principal" means Strathfield Municipal Council.
"Qualifying Cause of Delay" means:
(a) any act, default or omission of the Superintendent, the Principal or its consultants, agents or other contractors (not being employed by the Contractor);
(b) state or nation wide industrial strikes not caused or materially contributed to by the Contractor; or
(c) inclement weather.
Any delay caused by the Contractor and its subcontractors do not cover under Qualifying Cause of Delay. “Services” means the whole of the services, tasks, work and requisites to be supplied rendered provided or performed by the Contractor including all variations provided for by the Contract as more fully set out in the Contract. “Specification” means any specifications in the Principal’s Request for Quotation dated 15 March 2016. and such Specification shall be read with these General Conditions as an integral part of the Contract, but in the event of any inconsistency between the Specification and these General Conditions the former shall (unless the Contract otherwise provides) prevail. "Superintendent" means the person appointed by the Principal (and any notified representative of that person) who shall act solely as the Principal's agent in performing the functions specified in the Contract.
"Tender" means the tender response to the tender for provision of Works that was conducted by the Principal. "Term" means the period specified in Item 4 of the Schedule to the Contract.
"Variation" means any of the things referred to in clause 15 which the Superintendent may direct the Contractor to do in varying the Works;
“Works” means the whole of the work set out in Item 3 of the Schedule to the Contract, to be carried out and completed in accordance with the Contract, including variations provided for by the Contract.
and like words have a corresponding meaning.
2.2 In the Contract:
(a) words in the singular include the plural and words in the plural include the singular, according to the requirements of the context; and
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
(b) no rule of construction applies to the disadvantage of a party on the basis that the party put forward
the Contract or any part.
3 EVIDENCE OF CONTRACT
3.1 If there is any inconsistency between Contract documents, the terms contained in the following documents will prevail in the order of preference set out below:
(a) The Scope of Services in the Principal’s Request for Quotation dated 15 March 2016;
(b) The General Conditions of Contract;
(c) Letter of Acceptance;
(d) Principal’s Request for Quotation dated 15 March 2016; and
(e) Contractor’s Response dated [insert]
3.2 Should any part of the Contract be held in law to be invalid, that part shall be severed from the Contract and to the maximum extent permitted by law; the remainder of the Contract shall have full force and effect.
4 RISE AND FALL ADJUSTMENT
4.1 The Contract shall not be subject to rise and fall adjustment in costs.
5 SERVICE OF DOCUMENTS
5.1 Any notice to be given to the Contractor under the terms of the Contract, shall be served by:
(a) post, or
(b) hand delivery of the notice to the address given in the Tender. 5.2 If a notice is served under clause 3.1(a) it shall be deemed to have been duly received 2 working days after
posting. If a notice is served pursuant to Clause 3.1(b), it shall be deemed to have been duly received on the date of delivery.
6 PROVISION OF WORKS
6.1 The Contractor shall complete the Works by the Date for Practical Completion. 6.2 The Contractor undertakes and warrants to the Principal that it shall carry out the Works in accordance with: (a) the terms of this Contract; (b) the Principal’s Request for Quotation dated 15 March 2016; (c) all relevant legislative requirements; (d) all reasonable directions given by the Principal, and (e) Good Industry Practice.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
7 MATERIALS, LABOUR AND CONSTRUCTIONAL PLANT
7.1 The Contractor shall provide all materials, labour, plant, equipment, tools and anything else necessary to
carry out and complete the Works. 7.2 The Contractor shall bear all risk of executing, completing and maintaining the Works in accordance with the
Contract, the drawings and specification (if any) and such orders as the Superintendent may issue. 7.3 The Contractor shall be solely liable for loss or damage to the Works from any cause whatsoever (except
loss or damage caused by any negligent act or omission of the Principal, the Superintendent or the employees, professional consultants or agents of the Principal) until Practical Completion has been achieved.
8 PEOPLE AND PROPERTY
8.1 The Contractor shall indemnify the Principal against: (a) loss of or damage to the Principal's property; and
(b) claims in respect of personal injury or death or loss of, or damage to, any other property,
arising out of or as a consequence of the carrying out of the Works. The indemnity shall be reduced proportionally to the extent that the act or omission of the Principal or its consultants, agents or other contractors (not being employed by the Contractor) may have contributed to such injury, death, loss or damage.
6.2 Clause 6.1 shall not exclude or limit any other right of the Principal to be indemnified by the Contractor.
9 QUALITY OF SERVICES
9.1 All Services rendered shall conform to the Specification and the standards specified in the Contract.
9.2 Where no standards are specified in the Contract, the Services shall comply with the appropriate and current standard of Standards Australia and if there is no such standard then the appropriate and current standard of the British Standards Institution or such other standard as the Principal shall consider appropriate.
9.3 If no standards are applicable, the Services shall be of the highest standard and carried out promptly with all due skill care and diligence.9.4 The Contractor shall employ only such persons as are suitably skilled and experienced in their respective professions, trades or callings, who hold all necessary licences permits and authorities required by law, and whose standards of workmanship are entirely suitable for the performance of the Services and the requirements of the Contract.
10 ASSIGNMENT AND SUBCONTRACTING
10.1 The Contractor shall not, without the prior written approval of the Principal assign, mortgage, charge or
encumber the Contractor or any part thereof or any benefit or moneys or interest thereunder. 10.2 The Contractor shall not subcontract any part of the Works without the Principal's prior consent. The
Contractor shall provide to the Principal all information the Principal requires in order to consider giving such consent.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
10.3 No sub-contracting of any rights or obligations of the Contractor under this Contract shall relieve the Contractor from any liability under this Contract or at law in respect of the Contractor's obligations under this Contract.
10.4 The Contractor shall not modify or extend the works described in the Specification of the Request for
Quotation prior to obtaining written approval from the Principal.
11 LEGISLATIVE REQUIREMENTS
11.1 The Contractor shall comply with the provisions of all relevant Acts, regulations, by-laws, orders and
proclamations made or issued under any such Act and with the lawful requirements of public and other authorities in any way affecting or applicable to the Works or the execution of the work under the Contract.
11.2 The Contractor shall give all notices necessary to comply with the aforesaid requirements and shall pay and
bear all fees payable in connection therewith.
12 INSURANCE
12.1 Without limiting its obligations and responsibilities the Contractor in the joint names of itself and the Principal
for their respective rights, interests and liabilities and subject to a cross liabilities clause, shall during the Term take out and maintain the following insurances:
(a) a contractors risk policy (or a similar policy) which shall cover the whole of the Works for not less than
the amount set out in Item 8 of the Schedule to this Contract; (b) a public liability policy in respect of death or bodily injury to any person and damage to property for an
amount not less than the amount set out in Item 8 of the Schedule to this Contract ; and (c) any other insurance reasonably expected and requested by the Principal to be taken out by the
Contractor. 12.2 The Contractor shall effect and keep in effect during the Term such insurance as may be necessary to
adequately protect the Contractor and the Principal in respect of liability for payment of compensation to any employee of the Contractor or of a subcontractor of the Contractor under the Workers' Compensation Act 1987 (NSW) or otherwise at law.
12.3 The Contractor shall hold certificates of proof of all insurances available for inspection by the Principal or the
Superintendent on request. The Contractor shall provide certificates of currency of all insurances immediately upon request by the Principal or Superintendent.
13 TIME FOR COMMENCEMENT AND COMPLETION
13.1 The Contractor shall commence on site within fourteen days after the Principal has given to the Contractor
possession of sufficient of the site for such commencement, or within such further time as may be approved by the Superintendent.
13.2 The Contractor shall provide all health and safety and required documents with 7 days after the Principal has
given the approval to the Contractor to commence the Work. 13.3 The Contractor shall give the Superintendent at least 3 days clear notice of its commencement of the Works
on site. 13.4 The Contractor shall execute the Works expeditiously and in accordance with the Contract including any
directions of the Superintendent. 13.5 The Contractor shall complete the Works by the Date for Practical Completion.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
13.6 The Contractor shall only be entitled to an extension of time to the Date for Practical Completion if: (a) the claimed delay results directly from a Qualifying Cause of Delay; (b) the Contractor has submitted its claim for an extension of time to the Principal in writing within 5
days of the commencement of the cause of the delay, and where the delay extends beyond that time has submitted updated claims, notifying the Principal of the then current number of days claimed or the , every 7 days; and
(c) all details required by the Principal other than those set out above have been provided to the
Principal by the Contractor within the time period required by the Principal acting reasonably. 13.7 The Contractor is responsible to deliver the project within the time frame outlined in the Scope of Services in
the Principal’s Request for Quotation dated 15 March 2016. 13.8 The Principal may at any time, for any reason in its absolute discretion, extend the Date for Practical
Completion whether or not a claim for an extension of time has been made by the Contractor. The Principal is not required to exercise its discretion under this clause for the benefit of the Contractor.
13.9 The Principal shall determine any claim for an extension of time and notify the Contractor of its decision
within 14 days of that Contractor's notice.
14 MATERIALS
14.1 Materials used in the work under the Contract and standards of workmanship shall be in conformity with the
relevant standard of the Standards Association of Australia. The Superintendent may, at any time before Practical Completion, reject any material or work which is not in accordance with the Contract and may direct its replacement, correction or removal. All such replacements, corrections and removals shall be at the Contractor's cost.
14.2 Without limiting or otherwise restricting any other provision of this Contract, if the Contractor does not comply
with a direction of the Superintendent under clause 11.1 within the time reasonably stated by the Superintendent, then the Principal may retain a third party to remedy any defect in the Works and all costs and damages suffered or incurred by the Principal in doing so shall be a debt due from the Contractor to the Principal.
15 CONTRACTOR’S REPRESENTATIVE
15.1 Execution of the Works shall be supervised by the Contractor personally, or by an approved competent
person employed by the Contractor whose name shall be notified to the Superintendent in writing. The Contractor or its authorised representative shall be on the site whenever necessary, as determined by the Superintendent, to provide adequate supervision of the execution of the Works. Any order given by the Superintendent to the Contractor's authorised representative shall be deemed to be an order given to the Contractor.
16 CLEANING UP
16.1 As a condition precedent to the Contractor achieving Practical Completion, the Contractor shall clear away
and remove from the site of the Works all constructional plant, surplus material, rubbish and temporary works of every kind and where necessary shall fill and compact and level off all excavations (other than those forming part of the Works) made by the Contractor on the site and leave the whole of the site and Works in a clean and tidy condition to the approval of the Superintendent.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
17 DEFECTS LIABILITY
17.1 The Defects Liability Period shall commence on the day that the Contractor achieves Practical Completion. 17.2 The Contractor shall, at its own expense, execute all work of repair, amendment, reconstruction, rectification
and making good of defects, imperfections, shrinkages or other faults as may be required by the Superintendent during the Defects Liability Period or within fourteen days after its expiration if required as a result of an inspection made prior to its expiration.
17.3 Without limiting or otherwise restricting any other provision of this Contract, if the Contractor does not comply
with its obligations under clause 14.2 within the time reasonably stated by the Superintendent then the Principal may retain a third party to remedy any defect in the Works and all costs and damages suffered or incurred by the Principal in doing so shall be a debt due from the Contractor to the Principal.
17.4 After the expiry of the Defects Liability Period and as soon as, in the opinion of the Superintendent, all
defects, imperfections, shrinkages or other faults have been rectified pursuant to Clause 14.2 or 14.3, the Superintendent shall issue a Final Certificate stating the amounts if any then payable by the Principal to the Contractor.
18 LATENT CONDITIONS
18.1 Latent Conditions are physical conditions below the surface of the site that have not been documented at
any time and which differ materially from the physical conditions which should reasonably have been anticipated by the Contractor at the time of the Contractor's tender if the Contractor had:
(a) examined all information made available in writing by the Principal to the Contractor for the
purpose of tendering; (b) examined all information relevant to the risks, contingencies and other circumstances having an
effect on the tender and obtainable by the making of reasonable enquiries; and (c) inspected the site and its surroundings. 18.2 The Contractor hereby warrants and agrees that: (a) it assumes the entire risk arising out of or in connection the physical conditions encountered during
the execution of, or otherwise manifesting itself in connection with Latent Conditions; (b) it shall have no claim arising from or connected with any Latent Condition or the consequence of
any Latent Condition and the Contractor hereby agrees to indemnify and to keep indemnified the Principal against any claim, demand, loss, expense or damage made upon or sustained by the Principal arising out of or in connection with any Latent Conditions;
(c) it shall execute all work (whether by way of repair, rectification, relocation, dismantling, re-
construction or otherwise) arising in connection with a Latent Condition (and the consequences of the same) which, in the opinion of the Superintendent, is necessary for the proper execution and completion of the Works; and
(d) the cost of executing work under clause 15.2 is hereby deemed to be included for all purposes in
the Contract Sum. 18.3 The Contractor shall notify the Superintendent of any Latent Condition within 5 Business Days of the date
upon which it discovered or ought to have discovered the Latent Condition.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
19 VARIATIONS
19.1 If, at any time during the progress of the work under the Contract, the Superintendent determines that the
scope of the Works should be varied, the Superintendent may order the Contractor to increase, decrease or omit any part of the Works or change the character or quality of any material or work.
19.2 The rate or price payable for the variation shall be determined by agreement between the Contractor and the
Superintendent, or if agreement cannot be reached, clause 22 applies.
20 SECURITY AND PAYMENT
20.1 The Principal shall be entitled to retain 10% of each progress payment under this clause 17 as security for
the Contractor's performance of its obligations under the Contract. The entitlement to such deductions shall cease when the Principal holds 5% of the Contract Sum.
20.2 The Principal shall release at Practical Completion that part of such security that leaves the Principal holding
2.5% of the Contract Sum. Interest shall not be payable on retained moneys held by the Principal as security.
20.3 Within 14 days of the issue of a Final Certificate in accordance with Clause 14.4 the Principal shall release to
the Contractor any security then held by the Principal under this clause 17. No certificate of the Superintendent shall be deemed to signify approval or acceptance of any completed work.
20.4 The Contractor shall submit claims for payment to the Superintendent at the times specified in the Schedule.
To constitute a progress payment claim under the Contract the following documentation shall be submitted with the claim:
(a) details of the value of Work completed; (b) documentary evidence of the payment of moneys due and payable to workers of the Contractor,
the subcontractors, and workers of the subcontractors pursuant to the provisions of clause 19; and (c) certificates of currency of all insurances required under the Contract. 20.5 Upon receipt of a payment claim submitted in accordance the Contract the Principal shall assess and issue
to the Contractor within 10 business days of such receipt a payment schedule setting out the amount that the Principal intends to pay in relation to the relevant payment claim and, if that amount is less than that claimed, the reasons for the difference. The Principal shall pay the Contractor the amount set out in the payment schedule at the end of the month following the month in which the payment claim was properly made.
20.6 The Principal may deduct from moneys otherwise due to the Contractor: (a) any debt or other moneys due from the Contractor to the Principal; or (b) any claim to money which the Principal may have against the Contractor whether for damages
(liquidated or unliquidated) or otherwise, whether under the Contractor or on any other legal or equitable basis.
20.7 Nothing in this clause 17 affects the right of the Principal to recover from the Contractor the whole of the debt
or claim or any balance that remains owing. 20.8 This clause shall survive any termination of the Contract.
21 LIQUIDATED DAMAGES
21.1 Where an amount for liquidated damages is specified and if the Contractor shall fail to complete the Works
by the Date for Practical Completion, then the Contractor shall pay the Principal the sum set out in Item 11 of
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
the Schedule, for such default, and not as or in the nature of a penalty, for every week or part of a week by which completion of the Works is delayed.
22 PAYMENT OF WORKERS WAGES AND ALLOWANCES
22.1 The Contractor shall make and deliver to the Principal a statutory declaration that: (a) all workers who are or at any time have been engaged on the work under the Contract have been
paid in full all amounts which have become payable to them under any statute, ordinance of subordinate legislation, or by any relevant, determination, judgment or order of any competent court, board commission or other industrial tribunal;
(b) it has paid all payroll tax due in respect of employees who have performed work under this
Contract as required under the Payroll Tax Act 1971 (NSW); and (c) it has and shall maintain in force valid workers compensation insurance in respect of work done in
connection with the Contract and has paid all workers compensation insurance premiums payable in connection with the Contract, as required under the Workers Compensation Act 1987 (NSW).
23 DEFAULT OR BANKRUPTCY OF CONTRACTOR
23.1 If the Contractor
(a) fails to commence the Works within the period specified by the Contractor; or
(b) or has failed to carry out the Works at a rate of progress satisfactory to the Superintendent; or
(c) has neglected or omitted to carry out any instructions of the Superintendent in respect of the Works; or
(d) has failed to complete the whole of the Works by the Date for Practical Completion; or
(e) has intimated that it is unwilling or unable to complete the Works by the Date for Practical Completion; or
(f) has committed an act of bankruptcy , becomes insolvent or the Principal reasonably considers that the
Contractor is likely to become insolvent, the Principal may, by giving seven days notice in writing, terminate the Contract.
23.2 If the Contract is terminated pursuant to this clause, all moneys held by the Principal may be utilised by the Principal for the purpose of completing the Works and the Principal's remedies, rights and liabilities shall be the same as they would have been under the law governing the Contract, had the Contractor repudiated the Contract and the Principal elected to treat the Contract as at an end and recover damages.
24 TERMINATION FOR CONVENIENCE
24.1 Without prejudice to any of the Principal's other rights under the Contract, the Principal may: (a) at any time for its sole convenience, and for any or no reason, by written notice to the Contractor
terminate the Contract effective from the time and date stated in the Principal's notice; and (b) if it so terminates the Contract complete any uncompleted part of the Works by itself or engage
other contractors to carry out any uncompleted part of the works. 24.2 If the Principal terminates the Contract under clause 21.1, the Contractor:
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
(a) shall, subject to clause 21.2(b) be entitled to payment for work carried out prior to the date of termination;
(b) the amount that would have been payable to the Contractor under the Contract if the Contract had
not been terminated and the Contractor submitted a payment claim for that part of the Works; (c) the cost of goods and materials reasonably ordered by the Contractor for the Works for which the
Contractor is legally bound to pay; and (d) the reasonable cost of removing from the site all labour, construction plant, temporary works and
other things used in carrying out the Works. 24.3 The Contractor shall take all reasonable steps to mitigate the costs referred to in clause 21.2 and as a
condition precedent to any entitlement to payment under paragraph 21.2, hand over to the Principal the originals of any documents provided by or on behalf of the Principal.
24.4 The amount that the Contractor is entitled to under this clause 21 shall be a limitation upon the Principal's
liability to the Contractor arising out of, or in any way in connection with, the termination of the Contract by the Principal under clause 21.1 and the Contractor shall not make any claim again the Principal arising out of, or in any way in connection with, such termination of the Contract, other than for the amount payable under clause 21.2.
24.5 Clause 21.2 shall survive termination of the Contract under clause 21.1
25 SETTLEMENT OF DISPUTES
25.1 If any difference or dispute (together called a Dispute) between the parties arises out of or in relation to this
Contract or the Works then any party may give the other a notice of dispute (Notice of Dispute) adequately identifying and providing details of the Dispute.
25.2 Notwithstanding the existence of a Dispute, the parties shall, subject to the provisions of the Contract,
continue to perform their obligations under the Contract. 25.3 Within 14 days after receiving a Notice of Dispute, authorised representatives of the Principal and the
Contractor shall confer at least once to resolve the Dispute or to agree on methods of doing so. For every such conference, each party shall ensure that its representative holds the authority to agree to resolution of the dispute. All aspects of every such conference except the fact of occurrence shall be privileged.
25.4 If the dispute has not been resolved within 14 days of service of the Notice of Dispute, that Dispute shall be
and is hereby referred to expert determination in accordance with this clause 22. Such referral shall be a condition precedent to the commencement of any proceedings (including but not limited to litigation proceedings). The expert shall be experienced in dealing with the matters which are the subject of the Dispute.
25.5 The parties shall enter into an agreement with the expert in the form customarily used by the expert. 25.6 The parties agree that nothing in this clause 22 constitutes an arbitration agreement within the meaning of
the Commercial Arbitration Act 1984 (NSW). The expert shall make a determination as expert and not as arbitrator and may reach a decision from his or her own knowledge and expertise.
25.7 The determination of the expert shall be in writing and shall be final and binding except where the amount
payable by one party to the other exceeds $100,000 and a party commences court proceedings within 28 days of the date upon which the determination issued.
26 WARRANTIES
26.1 The Contractor warrants that:
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
(a) it has the necessary skill and expertise required to perform the Works; (b) it holds all necessary licences, permits and permissions required as a matter of law to undertake the
Works; (c) the Works when complete shall be free from defects including defects in performance and
workmanship, shall be of merchantable quality, shall be fit for the Principal's intended purpose and shall operate satisfactorily in the environment in which the Principal intends to use the Works;
(d) if samples have been supplied and approved by the Principal, the Works shall be in accordance with
samples approved; and (e) it shall be fully responsible for the care of the Works (including but not limited to all goods on site) and
the reinstatement of any damage to the Works (and any areas adjacent to the Works) until Practical Completion has been achieved.
27 CIVIL LIABILITY ACT EXCLUSION
27.1 The provisions of Part 4 of the Civil Liability Act 2002 (NSW) do not apply to any claim the Principal brings or
may bring against the Contractor or any of its servants, agents, employees, nominees or subcontractors arising out of, under, or in any way related to the subject matter of this Contract.
28 WORK HEALTH AND SAFETY
28.1 Subcontractors and Contractor obligation in relations to the Work Health and Safety Act 2011 (WHS
Act): The Contractor shall:
(a) appoint a health and safety representative to conduct all functions and exercise all powers pursuant to
the WHS Act, section 68; and
(b) ensure that it and all sub-contractors engaged by the Contractor in connection with the Works comply with their respective obligations under the WHS Act and Regulation.
29 SEVERANCE AND WAIVER
29.1 If any provision or part of any provision in the Contract is unenforceable, such unenforceability does not
affect any other part of the Contract. 29.1 No waiver or variation of the Contract shall be binding upon the Principal unless a duly authorised officer of
the Principal agrees to the waiver or variation in writing. 29.3 The Contractor shall confirm with the Principal that no variations have been made to the Contract prior to the
Contractor commencing the Works. 29.4 The rights of the Principal under the Contract are cumulative and the exercise by the Principal of one right
does not constitute the waiver of another.
30 GST
30.1 GST Law means the A New Tax System (Goods and Services Tax) Act 1999 (Cth) and any other law
dealing with the imposition or administration of goods and services tax in Australia. Terms uses in this clause which are defined in the GST Law have the meanings given in that law.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
30.2 Each party warrants to the other that it is registered for GST. Each party shall notify the other party if it
ceases to be registered for GST. 30.3 Amounts payable under this Contract do not include GST unless otherwise stated. 30.4 If any payable made or other consideration given by a party (Payer) in connection with the Contract does not
include GST and is the consideration for a taxable supply for which the party who makes the supply (Supplier) is liable for GST, the Payer shall, at the same time as the consideration is given, pay to the Supplier an additional amount equal to the amount of the consideration multiplied by the rate of GST under the GST Law.
30.5 Any reference in the Contract to a cost or expense to be reimbursed by one party to another (Payee)
includes any GST payable in connection with a taxable supply to which that cost or expense relates, less the amount of any input tax credit that the Payee or, if the Payee is a member of a GST group, the representative member of the GST group is entitled to claim.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
31 SCHEDULE
Item
Description
Details
1
Contractor
Name: [insert] ABN/ACN: [insert] Address: [insert] Facsimile: [insert]
2
Principal
Name: Strathfield Municipal Council ABN/ACN: 52 719 940 263 Address: 65 Homebush Road, Strathfield NSW 2135 Facsimile: (02) 9764 1034 Contact: [insert] [insert] Telephone No: (02) [insert] Email: [email protected]
3
Works
Works associated with the relocation of the existing State Emergency Services (SES) located at 1 Weeroona Road, Strathfield as specified in Principal’s Request for Quotation dated 15 March 2016 (RFQ) in compliance with all relevant legislation and Australian and National Standards and Guidelines including the Australian Standards and Building Code of Australia; and Contractor’s Response dated [insert] and any other services as specified. Works include, but are not limited to, relocating the SES demountable sheds to the new location as presented in the figures attached to the RFQ.
4
Term
Time is of the essence. Works must be completed in accordance with Section 5.2 of the RFQ and entire work must be completed in the last weekend of May 2016 (i.e. 28 and 29 May 2016). unless
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
terminated earlier, in accordance with this Contract
5
Lump sum payment
[insert]
6
Bill of Quantities
[insert if applicable]
7
Schedule of Rates
[insert if applicable]
8
Contractors risk policy (or a similar policy) cover amount
$20 million per occurrence and in aggregate in any 12 month period
9
Public Liability Policy cover
amount
$20 million per occurrence and in aggregate in any 12 month period
10
Defects Liability Period
n/a
11
Liquidated Damages
$1,000 per day
12
Date for Practical Completion
29 May 2016
13
Date for Payment Claims
After the completion of the works to Council’s satisfaction.
GENERAL CONDITIONS OF CONTRACT
Draft General Conditions of Contract for Relocating State Emergency Services Demountable Shed at 1 Weeroona Road, Strathfield
* Subject to change.
Executed as an agreement EXECUTED on behalf of the Contractor by its duly authorised officer, in the presence of:
) ) ) ) .......................................................................... Signature .......................................................................... Title .......................................................................... Print Name
.......................................................................... Witness Signature .......................................................................... Print Name .......................................................................... Usual Address SIGNED for and on behalf of the Principal by its duly authorised General Manager in the presence of:-
) ) ) .......................................................................... General Manager .......................................................................... Print Name
.......................................................................... Witness Signature .......................................................................... Print Name .......................................................................... Usual Address
DRAFT ONLY Not to be signed
DRAFT ONLY Not to be signed
Strathfield Council Business Ethics Policy (as at 7 May 2013) p2
POLICY
TITLE BUSINESS ETHICS POLICY
DATE ADOPTED 6 February 2007 MINUTE 20/07
REVISED 7 May 2013 REVIEW 2015
ASSOCIATED LEGISLATION
Independent Commission Against Corruption (ICAC) Act 1998 Local Government Act 1993 Work Health and Safety Act 2011 Privacy and Personal Information Act (PPIPA) 1998 Public Interest Disclosures Act 1994
ASSOCIATED POLICIES
Access to Information Policy Code of Conduct Complaints Handling Policy Gifts and Benefits Policy Media and Corporate Presentation Policy Procurement Policy Records Management Policy Secondary Employment Policy Sponsorship Policy Work Health & Safety Policy
1.0 Introduction 1.1 Title and Commencement
This policy is titled Business Ethics Policy. This policy was adopted on 6 February 2007 by Council resolution (minute 20/07). The following amendments have been made:
Date Type Minute 6 February 2007 Adoption 20/07 6 April 2010 Revision 88/10 24 August 2012 Policy amended as legislation
changed eg OH&S and Protected Disclosures Acts were replaced and/or amended.
Administrative amendment
7 May 2013 Policy amended due to adoption of new Code of Conduct
85/13
Strathfield Council Business Ethics Policy (as at 7 May 2013) p3
1.2 Background and Purpose of Policy
This policy outlines the ethical standards required of tenderers, suppliers, consultants and contractors engaged by Strathfield Council. This policy guideline exists concurrently with the legislative, regulatory and other policy requirements, notably Council’s Code of Conduct, which controls or affects the business of Council.
1.3 Objectives of the policy The objectives of this policy are to: set out the ethical standards expected of Council’s suppliers and business partners encourage compliance with Council’s ethical standards provide guidance on complaints and reporting processes
1.4 Coverage of the Policy
This policy applies to councillors and council staff as well as tenderers, suppliers, contractors and consultants and their sub-contractors/employees.
2.0 Policy Statement 2.1 Preamble
Strathfield Council is committed to conducting business professionally at all times and to the highest ethical standards, so that the community has confidence and trust in Council's business dealings, services and decision making. Strathfield Council is committed to our Code of Conduct that set outs the standards for ethical behaviour of Council officials, which includes Councillors and Council employees. Council expects all council officials and representatives to act honestly, transparently and responsibly in their decision making and business partnerships. It is also expected that Council's business partners, including suppliers, tenderers, contractors and consultants, understand our requirements and comply with these standards of behaviour in their dealings with Council.
2.2 Council’s values and commitments to our community
In addition to the statutory charter in the Local Government Act, Strathfield Council has adopted a statement of values which expresses our commitment to servicing the community. Integrity: We will maintain our reputation for honesty and integrity and our ability to fulfil
our promises. It is this concept by which all our actions are based and by which we are happy for our actions to be judged.
Respect: We show respect to those we deal with both inside and outside of the Council Teamwork: We approach all our work as a team, sharing our skills and resources for our
client's benefit. We value the health and safety of our people. Professionalism: We value our clients and are accountable for the work we do with
them. These values are reflected in our actions and decision making processes.
Strathfield Council Business Ethics Policy (as at 7 May 2013) p4
2.3 What you can expect from Strathfield Council
In all business dealings Council expects Councillors and staff to observe the highest standards of ethical, probity and professional conduct. This includes: acting honestly and with impartiality at all times conforming with all legal obligations not engaging in practices that give one party an improper advantage over another being prepared to attest to probity, and not engaging in any form of collusive practice,
including offering or taking inducements, gifts, benefits or fixing of prices etc protecting confidential information clearly specifying all requirements and criteria for evaluation and responding promptly
to requests for advice and information immediately disclosing and managing potential conflict of interests being responsible for our own safety and that of others enhancing and protecting the environment reporting to Council’s General Manager any suspected breaches of these ethical
standards. 2.4 What we expect from our business partners
Strathfield Council requires that all private sector providers of goods and services observe the following principles when doing business with Council: act ethically, fairly and honestly in all dealings with the Council respect the conditions set out in documents supplied by Council, including complying
with relevant Council policies and procedures abstain from collusive practices and not act secretly or fraudulently provide accurate and reliable advice and information when required declare actual, potential or perceived conflicts of interest as soon as you become aware
of them respect the obligation of Council staff to abide by Council’s Code of Conduct and other
policies take all reasonable measures to prevent the disclosure of confidential Council
information. refrain from lobbying or canvassing Councillors or members of staff during the tender
process refrain from offering Council employees, Councillors and/or members of their immediate
families any cash or cash like gifts, financial or other inducements which may give any impression of unfair advantage.
refrain from discussing Council business or dealings in the media, except with Council’s consent.
assist the Council to prevent unethical and fraudulent practices in our business relationships.
deliver value for money report to Council’s General Manager any suspected breaches of these ethical
standards
Strathfield Council Business Ethics Policy (as at 7 May 2013) p5
2.5 Why you need to comply
Strathfield Council requires all business partners to comply with this policy. Compliance with our policy will assist our suppliers of goods and services to advance their business objectives and interests in a fair and ethical manner. Business partners who engage in any unethical or illegal (including corrupt) behaviour could lead to: termination of contracts loss of future work loss of reputation investigation for corruption matters being referred for criminal investigation Consequences for Councillors, staff and volunteers not complying with Council's Code of Conduct may include: loss of civic office investigation disciplinary action dismissal potential criminal charges
3.0 Additional things you need to know 3.1 Gifts or Benefits
Anyone wanting to do business with Council must understand that business practices common in the private sector such as offering of gifts, benefits and incentives is not permitted at Strathfield Council. Under no circumstances will a gift of cash or cash-like gift such as gift vouchers, credit cards, debits cards with credit on them, memberships or entitlements to discounts be accepted. As offering of gifts and benefits may be perceived as an attempt to unfairly influence decisions and services, Council expects Councillors and Council staff to decline gifts or benefits. Council employees and councillors who are offered any gift or benefit must immediately inform the General Manager in writing. Gifts and benefits are recorded in Council's Gift Register and Benefits Register.
3.2 Conflicts of Interests
If an actual, perceived or potential conflict of interest in your work with Council exists or arises, you must disclose it to the Council. A conflict of interest arises if your financial, business or personal interests or those of other people close to you such as family or personal relationships or your affiliation with groups or associations, conflict with your obligations to the Council.
Strathfield Council Business Ethics Policy (as at 7 May 2013) p6
3.3 Media and Public Comments
You must not make any public comment or statement that would lead anyone to believe that you are expressing the views or policies of Council. This includes comments or statements made at public and community meetings, via the media, or when it is reasonably foreseeable that the comments, or statements, will become known to the public at large.
3.4 Communications All communication between Council and its business partners should be clear, direct and accountable to minimise the risk of perception of inappropriate conduct.
3.5 Confidentiality of Information All Council information must be treated as confidential unless otherwise indicated in writing. In dealing with Council information: you must take care to maintain the security of any confidential or personal information
you become aware of in your work with the council. you must abide by the privacy legislation governing the collection, holding, use,
correction, disclosure or transfer of personal information obtained through your dealings with the Council. Personal information is any information about an individual that disclosures identity or where identity can be reasonably ascertained
no one should access, use or remove from Council workplaces or premises any Council information or personal information, unless they need it for their work with the Council and have authorisation to use or disclose the information.
any breach of the security, or misuse, of the council’s confidential or personal information must be reported to the Council’s General Manager.
Council officials are required to protect confidential information, only use confidential information for the purpose it is intended to be used and not use confidential information for the purpose of securing a private benefit for themselves or any other person. Requests for access to Council information will be managed in accordance with Council’s Access to Information Policy and associated procedures.
3.6 Use of Council Resources Council's equipment, resources and information should only be used for its proper official purpose.
3.7 Contracting Employees All contracted and sub-contracted employees are expected to comply with Council’s Business Ethics Policy. If you employ sub-contractors in your work for Council you must make them aware of this policy.
Strathfield Council Business Ethics Policy (as at 7 May 2013) p7
3.8 Intellectual Property Rights
In business relationships with Council, parties will respect each other’s intellectual property rights and will formally negotiate any access, licence or use of intellectual property.
3.9 Harassment and Discrimination Council officials and its business partners must not harass, discriminate against, or support others who harass and discriminate against other contractors, employees or members of the public. This includes, but is not limited to, harassment and discrimination on the grounds of gender, pregnancy, age, race (including their colour, nationality, descent, ethnic or religious background), political affiliation, marital status, disability, sexuality or transgender.
3.10 Sponsorship Strathfield Council seeks and receives requests for financial and/or in kind sponsorship from organisations, businesses or individuals to support specific events, promotions or other activities of Council. All sponsorship arrangements must comply with Council's Sponsorship Policy. It is essential that any sponsorship does not limit the Council's ability to carry out its functions fully and impartially nor will sponsorship influence a Council decision.
3.11 Secondary Employment Council’s business partners should not make offers of employment to Council staff, which may be publicly perceived to obtain an unfair advantage. Council staff are not permitted to engage in outside employment or business that: conflicts with official duties interferes with Council work adversely affects work performance involves using confidential information or Council resources obtained through work with
Council. Council employees must be approved by the General Manager for any form of secondary employment. Failure to obtain approval may result in disciplinary action or dismissal of employment.
3.12 Tendering
Council’s tendering process does not permit applicants to canvass or lobby councillors or contact council staff other than the advertised contact person. Any action or contact that may be considered as an attempt to influence a decision of Council’s staff or councillors shall disqualify the relevant tender applicant.
4.0 Complaints Complaints regarding Council service should be lodged in accordance with Council’s Complaint Handling Policy. Complaints regarding matters relating to contractual arrangements with Council should be raised in the first instance with the Manager responsible for the operational administration.
Strathfield Council Business Ethics Policy (as at 7 May 2013) p8
If these remain unresolved, complaints can be forwarded to Council’s General Manager. 4.1 Reporting breaches of this policy
Council encourages the reporting of corrupt conduct, maladministration, fraud or serious waste of public funds. Council undertakes to deal with all reports or enquiries in a prompt, professional and confidential manner. Reports regarding Council's ethical standards should be made to: The General Manager. Strathfield Council PO Box 120 STRATHFIELD NSW 2135 Further information on Council’s policies, including the Code of Conduct can be obtained from Council’s Customer Service Centre at 65 Homebush Road Strathfield, website: www.strathfield.nsw.gov.au, phone: (02) 9748 9999, fax: (02) 9764 1034 or email: [email protected] Alternatively reports of any suspected corruption can be made to Independent Commission Against Corruption (ICAC) or for maladministration to the NSW Ombudsman.
4.2 Protected Disclosures
Disclosures about corrupt conduct, maladministration or waste of public funds are protected under the Public Interest Disclosures Act 1994. Persons who report unethical behaviour that is conduct covered by this Act can seek protection from any reprisal or detrimental action.
Strathfield Council Business Ethics Policy (as at 7 May 2013) p9
DECLARATION OF BUSINESS ETHICS Council’s Business Ethics Policy provides an outline of the ethical framework within which Council operates. It reinforces Council’s values for conducting business as well as stating what Council expects from its public sector and business partners. As a prospective business partner, it is a requirement that you have reviewed Council’s Business Ethics Policy and understand the need to abide by it when conducting business with, or on behalf of, Council.
DECLARATION
I, _____________________________________________________________________________
(name and position of person making declaration) of _____________________________________________________________________________
(name of firm, company, partnership, corporation, association or other organisation or entity)
have reviewed Council’s Business Ethics Policy and declare that ______________________________________________________________________________
(name of firm, company, partnership, corporation, association or other organisation or entity)
and any parent, subsidiary or franchisee of ______________________________________________________________________________
(name of firm, company, partnership, corporation, association or other organisation or entity)
agree to abide by the principles contained therein ______________________________________________________________________________
(Signature of person making declaration)
___________________
(Date)