Model Request for Tender - Department of Finance and Deregulation
Model Request for Tender - Department of Finance and Deregulation
Model Request for Tender - Department of Finance and Deregulation
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Agency Banking: Market Testing Toolkit - <strong>Model</strong> <strong>Request</strong> <strong>for</strong> <strong>Tender</strong><br />
ANNEX A - DECLARATION BY TENDERER<br />
[....TENDERERS TO INSERT NAME...] A.C.N/A.B.N. [....TENDERERS TO INSERT A.C.N/A.B.N...] (if<br />
any) tenders to provide the Services solicited by the <strong>Request</strong> <strong>for</strong> <strong>Tender</strong> No [....DRAFTERS TO<br />
INSERT RFT IDENTIFICATION PRIOR TO RELEASE OF RFT....] at the fees <strong>and</strong> charges tendered<br />
<strong>and</strong>, subject to the Statement <strong>of</strong> Compliance, in accordance with the draft Conditions <strong>of</strong> Contract.<br />
Acceptance<br />
This tender remains open <strong>for</strong> acceptance until [..TENDERERS TO INSERT DATE..], being<br />
[....TENDERERS TO INSERT PERIOD..] months from the tender closing time. (Refer clause 3.1. <strong>of</strong><br />
Conditions <strong>of</strong> <strong>Tender</strong>).<br />
Improper Assistance<br />
This tender has been compiled without the improper assistance <strong>of</strong> employees or <strong>for</strong>mer employees <strong>of</strong><br />
the [.insert Agency name..], <strong>and</strong> without the use <strong>of</strong> illegally obtained in<strong>for</strong>mation.<br />
REGISTERED OFFICE OR OTHER<br />
ADDRESS OF TENDERER:<br />
.....................................................................<br />
.....................................................................<br />
TELEPHONE:<br />
.....................................................................<br />
POSTAL ADDRESS<br />
.........................................................................<br />
.........................................................................<br />
FACSIMILE:<br />
.........................................................................<br />
Signature <strong>of</strong> tenderer or person authorised to make tender on behalf <strong>of</strong> the tenderer. (Note: if made on<br />
behalf <strong>of</strong> tenderer details <strong>of</strong> the <strong>of</strong>ficial position held should be included such as Director, Manager<br />
etc.)<br />
SIGNATURE:<br />
DATE OF SIGNATURE:<br />
...............................................................<br />
NAME (Block Letters):<br />
...............................................................<br />
SIGNATURE OF WITNESS:<br />
................................................................<br />
.......................................................................<br />
POSITION HELD:<br />
......................................................................<br />
ADDRESS OF WITNESS:<br />
.......................................................................<br />
........................................................................<br />
NAME (Block Letters):<br />
.................................................................<br />
Company executive nominated to receive correspondence/enquiries:<br />
NAME:(Block Letters):<br />
.................................................................<br />
PHONE:<br />
..........................................................................<br />
FACSIMILE:<br />
.........................................................................<br />
Financial Framework Division October 2003 18