National Prequalification Scheme application form (PDF) - RTA

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GUIDE NOTE: 1 New/renewing Applicants and Applications for upgrades In selecting the category(s) for which prequalification is sought, each new Applicant should carefully consider which particular category(s) best reflects its current capabilities. This step relies on the Applicant making a realistic self-assessment of its ability to successfully deliver contracts involving the type of work described in each category. Following this, the Applicant must ensure that its Application clearly addresses the relevant criteria and clearly demonstrates the Applicant’s capabilities for the prequalification category(s) selected. 2 Applicants already prequalified with another Participating Authority Applicants that are prequalified with another Participating Authority and are seeking recognition with this authority do not need to complete this Application Form, but must apply for recognition using the National Prequalification System Registration Form. Edition 1 Revision 4 – December 2012
2. Company Profile GENERAL INSTRUCTIONS: All information provided should be relevant to the prequalification category or categories sought. 2.1. Organisational Structure Applicants should attach an organisational chart showing the relationship between the Applicant and parent and subsidiary companies (where relevant), including names of principals, directors and partners. Organisational chart attached (please tick to confirm) 2.2. Stability of Organisation (a) Provide in tabular form the following information: Years under current structure Years under current ownership Local state/territory Nationally Internationally (b) If applicable, provide details of any former business names and give details as for (a) above. (c) In the last five years, has the Applicant, or any former business identified in sub-clause (b), been liquidated or entered into receivership, administration, scheme of arrangement, or creditors’ composition pursuant to the Bankruptcy Act or Corporations Law? If yes, give details. Edition 1 Revision 4 – December 2012
Page 1 and 2: `` Application Form National Prequa
Page 3 and 4: 1.1. General Information Applicants
Page 5: (p) Contact for general enquiries (
Page 9 and 10: Resume attached (please tick to con
Page 11 and 12: GUIDE NOTE: The extent of use of co
Page 13 and 14: 3. Financial Capacity GENERAL INSTR
Page 15 and 16: Cash flow (a) Provide details of hi
Page 17 and 18: 4. COMPANY EXPERIENCE GENERAL INSTR
Page 19 and 20: 4.4. Contract Completion Has the Ap
Page 21 and 22: GUIDE NOTE: Evidence could include,
Page 23 and 24: (c) Provide copies of the reports o
Page 25 and 26: (b) Provide documentary evidence of
Page 27 and 28: Prequalification categories R2/B2 a
Page 29 and 30: (b) Provide evidence of utilisation
Page 31 and 32: (g) Has the Applicant ever received
Page 33 and 34: 5.2. Key Operational Personnel Prov
Page 35 and 36: NAME ROLE DETAILS Resume attached (
Page 37 and 38: GUIDE NOTE: Evidence could include,
Page 39: 6. SUBMITTING THE APPLICATION Appli

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