Request for expressions of interest form

Provision RFOOctober

REQUEST FOR EXPRESSIONS OF INTEREST

DOCUMENT NUMBER (number issued by Procurement after submission)

Date of Issue:

Closing Date:

REQUEST FOR EXPRESSIONS OF INTEREST

INTRODUCTIONBackground

Queensland University of Technology (QUT) invites Responses for [insert requirement] as more specifically identified in the Brief to Respondents.

Respondents are urged to register their organisations interest (if they have not already done so) by accessing the Queensland Government Marketplace eTender website at: https://secure.publicworks.qld.gov.au/etender/index.do from where this document can be downloaded electronically and further information regarding this EOI Process can be obtained, progress of this EOI Process monitored and from which additional information and addenda will automatically be transmitted by email direct to registered tenderers.

Purpose

This Request for Expressions of Interest (EOI) is the first stage of the proposed procurement process. The purpose of this EOI Process is to allow QUT to receive and evaluate Responses for [insert requirement].

If the EOI responses indicate to QUT that one or more providers in the market meet the requirements identified in the Brief to Respondents, then QUT may, at QUTs sole discretion, initiate a Request for Offer or take any of the actions set out in clause16.

definitions

In this document:

Brief to Respondents means the document in Annexure2.

Closing Date means the time and date set out in Item 1 of Annexure 1.

Confidential Information means:

any technical or commercial information, know-how, data, drawings, specifications or designs supplied or made available by QUT or brought into existence by the Respondent for the submission of the Response, including (but not limited to) the information in the EOI Documents and the Respondents Response;any information which by its nature is confidential or is designated as confidential or the Respondent or prospective Respondent ought to know is confidential,and includes information:comprised of or relating to any intellectual property rights of QUT;concerning the internal management and structure, personnel, processes and policies, commercial operations, financial arrangements or affairs of QUT;that is of actual or potential commercial value to QUT;relating to the clients or suppliers of QUT,

but does not include information which:

is in the public domain other than through a breach of an obligation of confidentiality; was already in the possession of the Respondent or prospective Respondent and not subject to an obligation of confidentiality; oris lawfully received from a third party or independently developed by the Respondent or prospective Respondent.

Conflict of Interest means having an interest (whether personal, financial or otherwise) which conflicts or may reasonably be perceived as conflicting with the ability of the Respondent to submit a Response fairly and objectively.

EOI Documents means the documents specified in clause3.1.

EOI Process means the process of requesting information regarding the provision of the goods and/or services, the Respondents preparation and submission of a Response, communication between the parties in relation to the EOI and/or Response, evaluation of Responses and the subsequent acceptance or rejection of Responses.

Evaluation Criteria means the criteria specified in Item 4 of Annexure 1.

Government Agency means any government or any governmental, semi-governmental, administrative, fiscal or judicial body, department, commission, authority, tribunal, agency or entity.

ICT Products and/or Services includes all types of technology (data, voice, video, etc.) and associated resources, which relate to the capture, storage, retrieval, transfer, communication or dissemination of information through the use of electronic media. All resources required for the implementation of ICT are encompassed, namely equipment, software, facilities and services, including telecommunications products and services that carry voice and/or data.

Process Terms means the terms set out in clause 1 to 29 and any special conditions set out in Item 5 of Annexure 1.

QUT Representative means the person specified as the QUT representative in Item 2 of Annexure 1.

Respondent means any person lodging a Response.

Respondent Representative means the person nominated as the respondent representative in its Response.

Response means any Response Form lodged in response to the Request.

Response Form means the form in Annexure 3.

EOI DOCUMENTSThe EOI comprises the following documents:(a) Process Terms (including Annexure 4 if applicable);(b) the Brief to Respondents; (c) the details of the EOI as set out in Annexure 1; and(d) the Response Form,(EOI Documents).In the event of any inconsistency between the documents specified in clause 3.1, the document alphabetically first in the order (a) - (d) will take precedence to the extent of the inconsistency.EOI ProcessThe Respondent acknowledges and agrees that:this EOI Process is the first stage in a procurement process, and that no binding contract or other understanding will exist between QUT and the Respondent unless and until a contract is signed by QUT and the successful Respondent following any future Request for Offer (RFO) or other procurement process; participation in the EOI Process does not entitle the Respondent to participate in any subsequent process, and participation in any subsequent process is not limited to Respondents who participate in the EOI Process; the conduct of this EOI Process does not give rise to any legal or equitable relationship between QUT and the Respondent; andQUT has no commitment to proceed beyond the EOI Process. special conditions If the goods and/or services the subject of the EOI comprise ICT Products and Services, the Respondent agrees that any contract formed following the EOI Process and any subsequent process must be formed in accordance with the Government Information Technology Contract (GITC) Framework Version 5.03 (as amended from time to time) unless QUT agrees otherwise.The Respondent must comply with any special conditions set out in Item 5 of Annexure 1.REPRESENTATIVESAll notices, instructions, information and other communications that the Respondent is required to give to QUT in relation to the EOI must be given to the QUT Representative, except as otherwise provided. The QUT Representative may at any time delegate to any person any of the powers and duties vested in it and will provide the Respondent with notice in writing of this delegation. The Respondent must identify the Respondent Representative in its Response. The Respondent must notify QUT of the details of any replacement Respondent Representative. The Respondent Representative represents and acts for the Respondent at all times and the Respondent will be bound by the actions of the Respondent Representative. Matters within the knowledge of the Respondent Representative are taken to be within the knowledge of the Respondent.Any notices, instructions, information and other communications QUT provides to the Respondent Representative will be deemed to have been delivered to the Respondent.RESPONDENT TO FULLY INFORM ITSELFBy lodging a Response, the Respondent warrants to QUT that it has:

(a) read and understood the EOI Documents and any other information QUT makes available and has satisfied itself as to the correctness and sufficiency of those documents;

(b) carefully examined the contents of the EOI Documents and any other information made available by QUT for the purpose of submitting a Response;

(c) examined all information relevant to the risks, contingencies and other circumstances having an effect on the Response;

(d) if required, examined all physical areas and facilities relevant to the supply of the goods or performance of the services; and

(e) not relied on information provided by QUT or by any person for or on behalf of QUT or represented to be provided for or on behalf of QUT without independently verifying such information and independently satisfying itself of the adequacy, accuracy and correctness of such information.

The Respondent further warrants that: 1. any Response lodged is accurate and complete in all respects and complies in all respects with the EOI Documents and all applicable laws; (a) it is a solvent legal entity and under no form of insolvency, administration or legal disability to contract of any kind; and1. it has, after diligent inquiry and investigation, fully disclosed to QUT in the Response all information (within its knowledge or which should have been within its knowledge) which could reasonably be regarded as affecting in any way QUTs evaluation of the Response.The warranties in clauses 7.1 and 7.2 are given on the date the Response is lodged and will continue during the EOI Process and any subsequent stage of QUTs consideration of the project and any contract with the Respondent.The Respondent must inform QUT immediately in writing if any change in circumstances renders any information in its Response inaccurate or incomplete.CONTENTS OF RESPONSEResponses must:(b) be submitted on a fully completed Response Form, including any and all annexures;(c) be submitted by the Closing Date in accordance with clause 9.1;(d) be duly executed by the Respondent; and(e) include any and all supporting documentation specified in the EOI.QUT may strictly enforce the Closing Date, but reserves the right to accept late Responses. QUT may extend the Closing Date by notice in writing to the Respondent.A Response may be considered as non-conforming if:the Respondent fails to supply any of the information required to be supplied under this EOI;the Respondent fails to lodge the Response by the Closing Date;it does not accord with the requirements of any of the EOI Documents; or it has been lodged on the basis of any condition or qualification.A Respondent may lodge alternative non-conforming Responses provided that non-conforming Responses are accompanied by a clear summary of all instances of non-conformance.QUT may for any reason and at any stage during the EOI Process decline to consider any non-conforming Responses. QUT is not obliged to provide reasons for non-acceptance of any non-conforming Response.LODGEMENT OF ResponsesResponses must be lodged electronically to the Queensland Government eTendering site at https://secure.publicworks.qld.gov.au/etender/index.do or such other method specified in Annexure 1 or agreed by QUT. Lodgement Enquiries can be sent to [Insert].Responses will not be publicly opened.OWNERSHIP OF RESPONSe DOCUMENTSThe Response and supporting documentation submitted by each Respondent in connection with this EOI become the property of QUT at the time of submission.The Respondent grants to QUT and its advisers, contractors and consultants an irrevocable, world-wide, royalty-free, non-transferable, non-exclusive licence to copy, adapt, modify, disclose or otherwise use the intellectual property incorporated in the Response for the purposes of:(a) evaluating and clarifying the Response; and(b) any purpose with respect to the EOI Process and any subsequent procurement including negotiating, executing and performing the contract, if any.BINDING OBLIGATIONSThe Respondent agrees that submission of Response creates a contract between QUT and the Respondent governing the EOI Process on the terms of this EOI, including the Process Terms. By submitting a Response the Respondent agrees to be bound by the Process Terms.changes to request

At any time prior to the Closing Date QUT may issue (in writing) additional or different information to Respondents, which shall be taken into account in preparation of the Response. Any such information will be posted to the Queensland Government eTendering site.

AMENDMENT TO ResponseThe Respondent must inform QUT promptly in writing of any material change:(a) to any information in its Response; or(b) in circumstances that may affect the truth, completeness, or accuracy of any of the information provided in connection with the Response.If QUT accepts any amendment or supplementary information provided by the Respondent, then such amendment or supplementary information will be taken to form part of the Respondents Response.FURTHER INFORMATIONThe Respondent must if requested by QUT:1. provide further information in relation to the Response or any aspect of the Respondents capacity to provide the goods and/or services;1. give a presentation at a time or place nominated by QUT in relation to the Response; 1. consent to and co-operate with a check or audit of the Respondents financial status by an auditor or other person appointed by QUT;1. allow QUT or its agent to:6. inspect any site, facility or equipment proposed for use in the performance of the goods and/or services; and6. attend or observe any product, plant, equipment or other demonstration, trial or test; and1. allow QUT or its agents to contact any referee nominated by the Respondent and authorise QUT to obtain information about the Respondent from any third party whom QUT reasonably considers may be able to provide information about the Respondent or which is pertinent to the Response.QUT may prior to the Closing Date hold briefing and clarification sessions for prospective Respondents (whether separately or together) at times and venues to be advised by QUT.After the Closing Date, QUT may (without limitation to any other action that may be open to QUT):1. request clarification or further information about any Response; 1. invite all Respondents to change their Responses in response to a change in EOI Documents; or1. enter into post-response discussions with a preferred Respondent or a shortlist of Respondents.1.2 Any information provided to the Respondent by or on behalf of QUT is:(a) provided for the convenience of the Respondent only and unless expressly incorporated into the EOI Documents shall not form part of the EOI Documents; and(b) not warranted or held out by QUT as accurate, correct or adequate. EVALUATION CRITERIAResponses will be evaluated by QUT by reference to the Evaluation Criteria. The listing order of the Evaluation Criteria should not be interpreted as an indication of the weighting QUT will attribute to the Evaluation Criteria when reviewing the Responses. In addition, QUT may in its absolute discretion have regard to:(a) its previous dealings and experience with the Respondent;(b) any information about the Respondent that is in the public domain; and(c) any information obtained pursuant to any meetings conducted with the Respondent.QUT reserves the right in its absolute discretion to:(a) vary or amend the Evaluation Criteria at any time; or(b) give preference to any one or more of the Evaluation Criteria over the other Evaluation Criteria. Where QUT exercises its rights under clause 15.4(a), it will give the Respondent notice in writing of the variation or amendment and give the Respondent opportunity to amend, vary or withdraw its Response.It is the Respondents responsibility to ensure that its Response addresses all the Evaluation Criteria.RESERVATION OF RIGHTSQUT may, without limiting other options available to it, do any one or more of the following at any time during the EOI Process in its absolute discretion:1. terminate this EOI Process;1. change the structure, procedures and timing of the EOI Process or overall competitive process for the project the subject of this EOI;1. take into account any information from its own and other sources in evaluating a Response;1. shortlist a Response without prior notice to any other Respondent;1. require additional information from any Respondent; 1. request, attend or conduct any site inspections; 1. request, attend or observe any product, plant, equipment or other demonstration, trial or test;1. conduct a subsequent procurement process (including initiating a Request for Offer on an open or closed basis), and utilise information obtained in this EOI Process for that purpose; or 1. commence a new process for calling Responses on a similar or different basis to that outlined in this EOI.RIGHT TO INFORMATION AND DISCLOSUREThe Right to Information Act 2009 (Qld) (RTI Act) provides members of the public with a legally enforceable right to access documents held by Queensland Government agencies, including QUT.The RTI Act requires that documents be disclosed upon request, unless the documents are exempt or on balance, disclosure is contrary to the public interest. Information contained in a Response is potentially subject to disclosure to third parties. If disclosure under the RTI Act, and/or general disclosure of its Response, in whole or in part, would be of concern to a Respondent, because it would disclose trade secrets, information of commercial value, the purpose or results of research or other information of a confidential nature, this should be indicated in the Response. However, QUT cannot guarantee that any information provided by the Respondent including information that is identified by the Respondent will be protected from disclosure under the RTI Act. CONFIDENTIAL INFORMATIONThe Respondent:1. acknowledges that the Confidential Information is sensitive and that it remains at all times the valuable and exclusive property of QUT;1. shall not at any time use for any purpose (other than to submit a Response) or disclose any of the Confidential Information to a third party; 1. shall ensure that all documents and materials comprising the Confidential Information are properly and securely used, handled, kept and stored by the Respondent in such manner as will keep it confidential at all times;1. unless required for the purposes of preparing or submitting a Response shall not copy any papers, documents or other records containing or embodying the Confidential Information;1. shall return to QUT upon request all copies of the EOI Documents;1. shall only allow access to the Confidential Information by those of its officers, employees and agents for the degree to which is reasonably necessary for the preparation and submission of the Response and shall not permit relevant persons to whom the Confidential Information is disclosed to use or disclose the Confidential Information other than in accordance with the terms of this EOI; and1. shall obtain from QUT prior written consent to the disclosure of the Confidential Information to any third party, which consent may be given on such terms and conditions as QUT thinks fit, including that the third party execute a deed in like terms to this clause 18 in favour of QUT.If requested by QUT, the Respondent or prospective Respondent must execute a deed of confidentiality, in a form acceptable to or provided by QUT, from itself and from each of its officers, employees, agents and/or sub-contractors who receive the information.The obligations on the part of the Respondent in this clause 18 are of a continuing nature.QUT reserves the right to:supply the Confidential Information to third parties; anddeny access to or refuse to grant consent for the disclosure of Confidential Information to any officers, employees, or agents of the Respondent or any third party.

0. PRICES OFFERED

Prices specified in the Response must:2. be in Australian currency;indicate GST exclusive amount, GST component and GST inclusive amount and, if applicable, any other government taxes, or duty (e.g. import duty, etc); andinclude the costs of suitable packaging, delivery and installation, unless otherwise specified in the EOI.PUBLICITY

The successful Respondent must not, and must ensure that its officers, employees, agents and/or sub-contractors do not, make any public announcement or advertisement in any medium in relation to the EOI Process without the consent of QUT.

Competitive neutrality

Responses submitted by a government owned business, local government, State or Commonwealth agency or authority must be priced to comply with the competitive neutrality policy of the Respondents respective jurisdiction.

commissions or incentivesThe Respondent must not, and must ensure that its officers, employees, agents and/or sub-contractors do not, give or offer anything to QUT or any officer or employee of QUT, or to a parent, spouse, child or associate of an officer or employee of QUT, including any commission, inducement, gift or reward, which could in any way tend or be perceived as attempting to influence QUTs actions in relation to a Response. If QUT discovers at any time that the Respondent breached clause 21.1, QUT may elect, in addition to any other action, not to consider that Response.CONFLICTS OF INTERESTThe Respondent warrants that to the best of its knowledge, as at the date of the Response neither the Respondent nor any of its officers, employees, agents and/or sub-contractors have, or are likely to have, any Conflict of Interest in any matters connected with the EOI Process, except as expressly disclosed in its Response.If a Conflict of Interest or risk of Conflict of Interest arises during the EOI Process, the Respondent must immediately give written notice of the Conflict of Interest or the risk of it to the QUT Representative.COLLUSIONIn submitting its Response, the Respondent warrants to QUT that:(a) the Response was not prepared with any consultation, communication, contract, arrangement or understanding with any competitor (including any other Respondent or prospective Respondent) regarding: (i) prices;(ii) methods, factors or formulas used to calculate prices;(iii) the intention or decision to submit or not to submit a Response;(iv) the submission of a Response that is non conforming; (v) the quality, quantity, specifications or delivery particulars of goods and/or services (including the goods and/or services to which the Response relates); or (vi) the terms of its Response or a competitors Response; (b) it has not (and will not unless and until any contract is entered between the Respondent and QUT): (i) provided any benefit (including money) directly or indirectly to, or entered into any contract, arrangement or understanding to provide any benefit (including money) directly or indirectly to any competitor (including any other Respondent or prospective Respondent) relating in any way to the EOI;(ii) received any such benefit directly or indirectly, or entered into any contract, arrangement or understanding to receive any such benefit directly or indirectly from any competitor (including any other Respondent or prospective Respondent) relating in any way to the EOI; or(iii) consulted, communicated or entered into any contract, arrangement or understanding to provide any benefit (including money), whether directly or indirectly, to a trade, industry or other association (above the published standard fee) relating in any way to the EOI; and(c) the Respondent and its employees, agents and contractors associated with the Response (including directors and senior management) are not and have never been subject to proceedings relating to anti-competitive conduct in Australia or overseas; and (d) any proceedings relating to anti-competitive conduct in Australia or overseas to which the Respondent and/or any corporation or person associated with the Response, including directors and senior management, have been subject requires full disclosure of: (i) the names of the parties to the proceedings; (ii) the case number; (iii) the general nature of the proceedings; and (iv) the outcome or current status of the proceedings. QUT reserves the right, at its entire discretion, to exclude the Respondent from the entire EOI Process if:(a) the Respondent or its employees, agents and contractors (including directors or senior managers) associated with the Response have ever contravened any anti-competition laws in Australia (including the Competition and Consumer Act 2010 (Cth)) or equivalent laws overseas; or (b) full disclosure of any or all contraventions of the anti-competitive provisions of the Competition and Consumer Act 2010 (Cth) or equivalent laws in Australia or overseas, has not been made as is required in clauses23.2(a) and/or 23.1(d).In submitting its Response, the Respondent acknowledges that if QUT accepts the Response and subsequently enters into a contract following a subsequent process, QUT will do so in reliance of the warranties in this clause 23. COSTSThe Respondent must bear all costs it incurs during the EOI Process including in relation to the preparation, lodgement and evaluation of its Response and the negotiation of a resulting contract (if any).QUT is not responsible for, and will not pay, any costs, expenses or losses the Respondent incurs in the preparation, clarification or negotiation of its Response or in connection with the EOI Process.NO RECOURSE FOR UNSUCCESSFUL RESPONDENTSQUTs decision in the above matters will be final and (subject to statutory rights that cannot be excluded or modified) no Respondent is entitled to any redress or claim against QUT as a result of QUT exercising any or all of its rights as mentioned above or otherwise in the EOI including these Process Terms. QUT is not liable for any:(a) indirect or consequential loss; and (b) any loss of revenue, loss of profit or loss of business opportunities, suffered by the Respondent in connection with the EOI, including these Process Terms and the EOI Process, whether under contract, tort (including negligence) or otherwise.WARRANTIESThe EOI does not, and does not purport to, comprehensively describe the scope of the project or contain all the information that prospective Respondents would need to make a decision in relation to the project. The Respondent must form its own views as to what information is relevant to such decisions.Neither QUT nor any of its employees, agents, advisors, contractors or consultants, warrants, guarantees or makes any representation or accepts any liability for the information in the EOI or any advice, correspondence, clarifications or information given by QUT with respect to accuracy, adequacy, suitability or completeness and QUT accepts no responsibility for any interpretations placed on the information by the Respondent. Any marketing, financial and statistical data provided is only an indication of projected levels of activities.COMPLIANCE WITH LAWSThe Respondent must comply with all applicable laws and all requirements of Government Agencies. IMPLIED TERMSAny implied terms, conditions, warranties or representations are to the extent permitted by law excluded from the Process Terms. GENERALThe EOI is governed by the laws of Queensland. The parties submit to the exclusive jurisdiction of courts exercising jurisdiction there.If any provision of the EOI is invalid, the provision is enforceable to the extent that it is not invalid, whether it is in severable terms or not.Neither the Respondent nor QUT may rely on the words or conduct of the other as a waiver of any right, unless the waiver is in writing and signed by the party granting the waiver, and stated to be a waiver granted under this clause 29.3.If the Respondent comprises two or more persons then their Response will bind them jointly and each of them severally.

ANNEXURE 1

EOI DETAILS

1

Closing Date:

2pm (A.E.S.T.) on [INSERT DATE]

2

Name and contact details for QUT Representative

[Insert details for QUT representative]

3

Lodgement requirements

[Insert whether QUT requires alternative lodgement of Offers to the Queensland Government eTendering]

4

Evaluation Criteria

Includes (not necessarily in order of priority):

[Insert Evaluation Criteria]

5

Special conditions

[insert any special conditions (if applicable)]

ANNEXURE 2

BRIEF TO RESPONDENTS

1 BACKGROUND OF THE UNIVERSITY

QUT has a requirement for [insert requirement here]. QUT has prepared an Expressions of Interest (EOI) with a view to fulfilling the Universitys requirements in this regard.

[Insert background details]

2 EOI

QUT has a requirement for [insert requirement].

The University has prepared an EOI with a view to fulfilling the Universitys requirements in this regard.

The University may accept supply of [insert requirement] from different suppliers, where such acceptance represents best value for money for the University and the suppliers are willing and able to assist in working together to enable these solutions to potentially share information if and where required.

3 STATEMENT OF REQUIREMENTS

[insert requirements]

4 SELECTION PROCESS

Responses to the EOI will be reviewed by a panel comprising representatives from across the University.

From these responses the panel may select a shortlist of parties who meet these requirements. Each Respondent acknowledges and accepts that QUT may in its absolute discretion apply whatever selection criteria it deems appropriate in the selection of a shortlist, or may decide to take no further action following receipt of responses to the EOI.

At the conclusion of the evaluation process all respondents will be notified of the outcome.

5 EVALUATION CRITERIA

Responses will be evaluated having regard to evaluation criteria indicated herein, using a methodology decided upon by the evaluation panel prior to the closing date of this EOI.

The Evaluation Criteria will include, but is not limited to the criteria set out below. These criteria are not necessarily in order of priority:

[Insert Evaluation criteria from Annexure 1]

* All claims made regarding the compliance of equipment to QUTs requirements must be verified by manufacturers brochures or documentation included in the Response Form.

6 QUALITY ASSURANCE

[STATE HERE WHETHER A DOCUMENTED QUALITY ASSURANCE IS REQUIRED]

The Respondent may wish to supply up to three (3) relevant reference sites that can vouch for the supply, performance and reliability and service delivery of the offered products and related supplies. These sites may be asked by QUTs panel to comment or provide information regarding the performance of the solution and the equipment provided to them.

ANNEXURE 3

RESPONSE FORM FOR (Procurement to enter number)

TO:THE QUEENSLAND UNIVERSITY OF TECHNOLOGY

SCHEDULE OF PARTICULARS

Company Name

Postal address

City, State, Postcode

ABN

Contact person

Position

Email address

Contact numbers

Ph

Fax

Mob.

Quality System implemented (if applicable)

ISO

Assessing Org.:

Approved Govt Supplier No. (If applicable)

GITC No.

Q-

Do the goods and/or services offered under the terms and conditions of this Response comply fully with the specifications detailed in (Procurement to enter number)

YesNo

If No, please amplify variations. (If space insufficient, attach schedule).

Note to Respondents: In completing this form and the attached schedule, you are not constrained to the space allowed in the form outline. You may also include additional text by way of annexures, diagrams, tables, charts and graphs to illustrate any information provided. Provided that you have included all information sought by the EOI Documents you may include any additional information you think relevant to your Response.

AGREEMENT

1. The Respondent agrees that in submitting this Response it is bound by the terms of and gives all warranties required by the EOI including the Process Terms.

2. The Respondent makes this Response Commercial in Confidence, on the understanding that the contents of the Response will remain the property of QUT.

3. The Respondent confirms that it has not relied on the information included in the EOI.

4. All terms defined in the EOI have the same meaning when used in this Response.

Executed as a Deed Poll in favour of Queensland University of Technology

For a company:

EXECUTED by

)

)

................................................................

Company Secretary/Director

................................................................

Name of Company Secretary/Director (print)

................................................................

Director

................................................................

Name of Director (print)

................................................................

Date

................................................................

Date

For an individual:

SIGNED SEALED AND DELIVERED

by

................................................................

Name (print)

in the presence of:

)

)

)

................................................................

................................................................

Witness

................................................................

Name of Witness (print)

Date ..

RESPONSE OFFERED

All Respondents must complete and submit a schedule for each Response provided. Respondents are free to offer as many options as they desire.

Please use a separate schedule for each Response if necessary.

ANCILLARY GOODS & SERVICES

List all ancillary (not specifically requested) goods/services you include in this Response and their respective prices.

Note: manufacturers brochures with specifications must be supplied where applicable, otherwise full details are to be supplied

Goods/Services

Cost

VALUE ADDED GOODS & SERVICES

Please list any value added (cost free) goods &/or services, in-kind support or grants you include in this Response.

Respondents are advised that the value of these items must clearly indicate the value inclusive of GST.

Note: Detailed information is required, and such goods must be offered to QUT, not to individuals.

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