View Scheme - SCM10611

Authorised Representative ^*

Please answer the following questions using this format:

Full Name

Position

Contact Number

Email Address

Applicant's Acknowledgement ^*

In applying the applicant confirms they are:

• I am authorised to submit this application for and on behalf of the Applicant
• I accept that lodging an Application will evidence the Applicant's agreement to comply with the framework, system, guidelines and licensing requirements if included on the Procurement List
• I provide the necessary authority to enable searches and enquiries to be carried out in relation to the Application
• I will ensure the Applicant's subcontractors, consultants and contractors comply with all relevant legal obligations
• I accept that any compliance breach may result in the termination of an engagement and/or exclusion from the Procurement List.
  

Does the applicant agree to the above?

Agree

What type of organisation is your business? ^*

Sole trader

Partnership

Company

Joint Venture

Complete the below template to describe the organisation's corporate structure. ^*

Template - Corporate Structure

Is the organisation an Australian Disability Enterprise? ^*

Yes

No

In what countries does your organisation provide its services that are relevant to this Procurement List? ^*

Please enter the countries in which your organisation operates.

How many years (in any country) has the organisation been in operation? ^*

Please enter number of years.

Describe the organisation's approach to the NSW Government's Skills and Training Policy. ^* Describe how the organisation is compliant with the Commonwealth Modern Slavery Act. ^*

Supplier Code of Conduct ^*

The Applicant confirms that the organisation enters into compliance with the NSW Supplier Code of Conduct.

Agree

Fines ^*

Complete and upload the attached template. The applicant is to identify all fines, proceedings, prosecutions and convictions in the last two years as well as action taken by applicant to address these matters including Work Health and Safety; Environmental matters.

Template - Fines

Financial Declaration ^*

The Applicant confirms that the Directors have never been insolvent or bankrupt.

Financial Capacity Checks ^*

The Applicant confirms that it will supply their previous two (2) years financial statements and any other relevant information as requested by the Government's appointed external assessor.

Public Liability Insurance ^*

Please upload a copy of your certificate of currency for Public Liability insurance. A minimum amount of $20M is required to gain prequalification.

Use the calendar feature to set the expiry date for the insurance.

Professional Indemnity Insurance ^*

Please upload a copy of your certificate of currency for Professional Indemnity insurance. A minimum amount of $10M is required to gain prequalification.

Use the calendar feature to set the expiry date for the insurance.

Quality Management System (QMS) ^*

Upload:

• Certification to ISO 9001 through an organisation listed by JAZ ANZ or
• Any equivalent accreditation/certification and the Applicant's ability to demonstrate that these accreditation/certifications are indeed equivalent to the above.

Use the calendar feature to enter the expiry date of your relevant certification.

WHS Management System

Note: this question only applies to Work Categories within Construction related Project Management Services.

Upload:

• Certification to ISO45001, or
• Staff having relevant qualifications in managing safety with a Certificate 4 (C4) in WHS or above such as a diploma; or
• Two written examples of second party audit reports where applicant entity has satisfactorily overseen implementation of WHS system on a construction project.

Use the calendar feature to enter the expiry date of your relevant certification.

Project Management Systems

Note: this question only applies to Work Categories within Construction related Project Management Services.

Please upload evidence that your key personnel have qualifications relating to project management:

• A university degree in project management
• A higher education degree in project management
• BSB51407 Diploma of Project Management or equivalent qualification
• Certified Practising Project Practitioner (CPPP) by Australian Institute of Project Management (AIPM)
• PMP (certified project management professional) by Project Management Institute, Inc. USA
• PRINCE2 Practitioner
• Any equivalent qualifications and the Applicant's ability to demonstrate that these qualifications are indeed equivalent to the above.

Experience and Key Personnel ^*

Complete and attach the Experience and Key Personnel template. Combine all requirements into one file and upload as a PDF or zip file.

Refer to Section 3.1 of the Scheme Conditions for further information on the commercial and technical abilities required and document evidence to be provided. 

Template - Experience and Key Personnel

Company Experience ^*

Complete and attach the Company Experience template. Combine all requirements into one file and upload as a PDF or zip file.

Refer to Section 3.1 of the Scheme Conditions for further information on the commercial and technical abilities required and document evidence to be provided. 

Template - Company Experience

Referee/Performance Reports ^*

Please provide the following:

• A completed client referee report, or;
• A completed performance report.

Two referee/ performance reports in relation to contracts completed within the last three years are required for each category of work you are applying for with engagement fee above $9million.

Combine into one file and upload as PDF or zip file.

Template - Client Referee Report

Government Policies

Note: this question only applies to Work Categories within Construction related Project Management Services.

How does your organisation demonstrate its ability to follow public sector/government procurement policies and guidelines?

Architects Act 2003 (NSW)

Note: this question only applies to Work Categories within Architectural Services.

Please select one of the following: 

A) The Applicant declares at least one Nominated Architect in place and can provide name(s) of staff member(s).

B) The Applicant does not currently have a Nominated Architect in place but will seek to fulfil the requirements under the Act once included on the Procurement List, prior to providing its services.

In you answered A to the question above, please list the Nominated Architect. Architects Registration Board of NSW

Note: this question only applies to Work Categories within Architectural Services.

Please select one of the following:

The Applicant declares that nominated Key Personnel are registered and have qualifications for the Architects Registration Board of NSW

The Applicant's nominated Key Personnel will seek to obtain registration with the Architects Registration Board of NSW once included on the Procurement List, prior to providing its services