Community Services Request for Tender template

PART G: Guide to the Response Form

Respondent to read and keep this part.

1. 
   Information to consider when preparing an Offer
   

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  Make sure the Offer addresses each requirement in PART H: Response Form including:
  
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    Respondent Details;
    
  • 
    Mandatory Requirements (if applicable);
    
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    Disclosure Requirements;
    
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    Qualitative Criteria; and
    
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    Price Schedule.
    
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  When completing the Respondent Details section, make sure you are clear about the distinction between your organisation’s Legal Entity name and Trading name. They can often be different and it is important for the State Party to know both in order to enter into a Service Agreement.
  
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  When completing PART H: Response Form, always take into account the requirements of the proposed service (Section 1.2), and the PART F: Key Service Agreement Details.
  
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  When addressing the Qualitative Criteria in PART H: Response Form, make sure you provide full details of any claims, statements or examples provided. Also make sure you double check the respective weightings of each Qualitative Criterion. In this Request:
  

[Choose from the two following options. Delete the inapplicable option.]

Option 1:

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  Each Qualitative Criterion has equal percentage weighting.
  

Option 2:

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  Each Qualitative Criterion does not have an equal percentage weighting. Therefore, the weightings identify the relative importance of each Qualitative Criterion. Please refer to section 7.4 for further information.
  
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  When preparing an Offer, always assume the State Party has no knowledge of your organisation, its activities, its experience or any previous work undertaken.
  
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  When completing the Price Schedule in Section 7.5, ensure a sustainable price for the services is offered. Pricing should take into account all costs of providing the service. This may include, but is not limited to: start-up costs, administration costs, overhead costs and staffing costs.
  
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  PART H: Response Form is formatted in a way that makes it easy for Respondents to download and complete. If you wish to supply information outside of, or in addition to the Response Form for one or more sections, ensure any attachments adopt the same structure, numbering and headings as are used in the Response Form and are clearly labelled to enable easy identification by the State Party.
  
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  Further information about completing a Request document can be found in the Guide to Community Services Tendering for Service Providers.
  

PART H: Response Form

This part must be completed by the Respondent and submitted to the State Party in accordance with Part D, section 4.1.

You are only required to submit this part (PART H) to the State Party.

1. Respondent Details

Please provide all of the following details in the table format below.

Respondent Information
Name of legal entity:	[insert]
ACN:	[insert]
Trading name:	[insert]
ABN (if applicable):	[insert]
Contact person:	[insert]
Contact person position title:	[insert]
Registered address or address of principal place of business:	[insert]
E-mail:	[insert]
Telephone number:	[insert]
Address and email for service of contractual notices (leave blank if same as above):	[insert]

Business Details
Is the Respondent a small business that employs less than twenty (20) people?	(Yes / No)
Is the Respondent a Registered Australian Disability Enterprise (ADE)? (the ADE is listed as an approved ADE on the Australian Disability Enterprises website at http://buyability.org.au/directory).	(Yes / No)
Is the Respondent a Registered Aboriginal Business? (the business is to be registered on the Aboriginal Business Directory WA at: http://www.abdwa.com.au/ and/or on Supply Nation’s Indigenous Business Direct at http://supplynation.org.au/). *This information is collected by the Department of Finance for statistical purposes only, and will not be used by the State Party in its evaluation of the Offer.	(Yes / No) If Yes, registered on: Aboriginal Business Directory WA  Supply Nation’s Indigenous Business Direct  Both 
Is the Respondent a not-for-profit** entity? If Yes, please provide an extract of the relevant provisions of the Respondent’s constitution or governing documents. **For the purposes of this Request, the Respondent is a "not-for-profit entity" if its constitution or governing documents prohibit distribution of profits or gains to individual members, both while the Respondent is a going concern and on its dissolution.	(Yes / No)
Is the Respondent a Local Government Authority?	(Yes / No)
Is the Respondent’s financial information available via the Australian Charities and Not-for-profits Commission’s (ACNC) Register, and does the Respondent agree that the State Party can use this information in lieu of the Respondent providing it as part of its Offer***? ***Respondents are responsible for ensuring that the information available via the ACNC Register is correct and that no material changes to the information have occurred since it was reported to the ACNC.	(Yes / No)

[Please note that the following table is optional, for inclusion where appropriate for Respondents to nominate their service names and locations. Please amend or delete as desired.]

Proposed Service Details
Name of Service:	[insert]
Physical Address of Service Delivery Venue:	[insert]
Service Delivery Area (Geographical):	[insert]

2.