Application for registration as an ... .au



Department of Treasury and FinanceApplication for Registration As an approved Consultant for Building Construction and Maintenance ServicesMarch 2019 ? Copyright State of Tasmania 2019Excerpts from this publication may be reproduced, with appropriate acknowledgment, as permitted under the Copyright Act. EnquiriesProcurement, Risk and Contract Management BranchDepartment of Treasury and Finance21 Murray StreetHOBART TAS 7000Telephone (03) 6166 4439Email: prequalified@treasury..auDocument PurposeThe purpose of this document is to obtain sufficient information required to assess applicants across each category.An applicant may choose to submit supplementary information, but such information must directly address the criteria for registration. Marketing publications are not required and will be returned to the applicant.It is recommended that applicants refer to the document titled Guidelines for Registration as an Approved Consultant for Building Construction and Maintenance Services before submitting an application. application document is compiled with text boxes to allow for electronic submission or, alternatively, the application document can be printed and information entered manually.Consultants may choose to use this document for submitting information or prepare a separate document. Any separate documentation must address the same criteria as in this application document.Should further information be required, a request will be made directly to the consultant. The completed application for registration can be submitted by post or email.Post:Procurement, Risk and Contract Management BranchDepartment of Treasury and FinanceGPO Box 147HOBART TAS 7001Email: prequalified@treasury..auTreasury will acknowledge receipt of all applications by email. If you do not receive email confirmation of receipt within four business days, it is recommended that you contact the Procurement, Risk and Contract Management Branch via phone(03) 6166 4439 or via email prequalified@treasury..au.Application DeclarationIn submitting this application the consultant is deemed to have made the following Declaration:I / We hereby:Apply to the Department of Treasury and Finance for registration as an approved consultant for government building construction and/or maintenance services.Declare that the particulars in all the documentation are true and correct in every detail.Acknowledge that Department of Treasury and Finance will undertake credit checks as part of the assessment process.Confirm that none of the proprietors, directors, trustees, managers or their spouses is or has ever been bankrupt, or a director, manager or secretary of a company that is being or has been wound up (whether voluntarily or otherwise), and that the business is not trading under:an arrangement and/or restructuring; orreceiver and management; orofficial management; oran arrangement with creditors without sequestration.Undertake to comply with and ensure that all employees, sub-consultants and agents comply with the requirements of the Work Health and Safety Act 2012, and the Work Health and Safety Regulations 2012, and all other Acts, regulations, local laws and bylaws, Codes of Practice and any other instructions made under any Act or subordinate legislation, whether State or Federal which are in any way applicable to the performance of the consultant’s services.Declare that Professional Indemnity Insurance and Public Liability Insurance policies comply with the conditions set down in the Guidelines for Registration as an Approved Consultant for Building Construction and Maintenance Services and that these policies will be maintained for the duration of the pre-qualification period.Undertake to advise the Department of Treasury and Finance of any changes to the circumstances of the information contained in this application during the duration of the pre-qualification period should prequalification be granted in any category.Undertake to provide details of any adverse change affecting the financial position contained in this application and/or supplied by the company accountant as soon as practicable after the change in circumstances become known during the registration period.Acknowledge that prequalification does not guarantee that a consultant will be invited to undertake work for the Tasmanian Government.Signed …………………………………………………………………………………..............Name (Print) ……………………………………………………………………….…….........Position ……………………………………………………...........……….…………................Company…………………………………………………………………........……...................Date ………………………………………………………………...............................................Tender Pending FORMCHECKBOX Yes (Please advise date required) __________________ FORMCHECKBOX NoBusiness InformationRegistered Business NameBusiness Trading NameBusiness AddressPostal AddressAustralian Business Number (ABN) Australian Company Number (ACN)Building Services Provider Licence Number Note: Companies must be registered practitioners in Tasmania. Compliance checks are undertaken with the Department of Justice. Please note the turnaround time for compliance checks is five days. Legal Status of Organisation (sole trader, partnership, private/public/trustee company)Note: If the applicant trades as a company provide a copy of the company certificate, or business name registration details if not incorporated.Date when Business Commenced OperationContact Officer Position HeldTelephone Number Mobile NumberEmail AddressAssociated CompaniesList all associated, subsidiary and holding companies including trusts. Include company/business name and addressPartners, Directors and ManagersList all Partners, Directors and Managers, include full name and position.Other BusinessesList any other business and/or company that any person referred to above has involvement with – include name, position held, business/company and address.Industry AssociationsList membership of industry associations – RAIA, ACEA etc.CategoriesThe consultant shall:nominate the category and the financial level for which registration is requested by inserting in the space provided, the maximum amount for which registration is requested; anddemonstrate the capacity to undertake work in each category to the financial level requested.Treasury reserves the right to nominate a specific financial level, following application assessment.Definitions of each category can be found in the Guidelines for Registration as an Approved Consultant for Building Construction and Maintenance Services.CategoriesMaximum Financial LevelRequested Financial LevelStrategic ServicesMaximum commission Fee Requested Commission Fee Strategic Asset Management$500 000$Management of Projects$500 000$Management of Maintenance$500 000$Heritage Conservation Planning$250 000$Project ServicesTotal Project CostRequested Project Cost Architecture$50 million$Building Services Provider Licence Number (Tasmania)Maximum Component CostRequested Component Cost Civil Engineering$10 million$Mechanical Engineering$7 million$Electrical Engineering$5 million$InsurancesProfessional Indemnity InsuranceSpecific requirements are set out in the publication Guidelines for Registration as an Approved Consultant for Building Construction and Maintenance Services.Please include a copy of the policy or a certificate of currency from the underwriter with your application.BrokerInsurance CompanyPolicy NumberPeriod of InsuranceLimit of liability in the aggregateLimit of liability, any one claimCivil Liability CoverY / NRetroactive PolicyY / NPublic Liability InsuranceSpecific requirements are set out in the publication Guidelines for Registration as an Approved Consultant for Building Construction and Maintenance Services.Include with the application a copy of the policy or a certificate of currency from the underwriter.BrokerInsurance CompanyPolicy NumberPeriod of InsuranceLimit of liability(minimum $5 million)Broad-form CoverY / NQuality AssuranceThe Department of Treasury and Finance requires that for higher financial levels of registration consultants maintain an accredited quality assurance system that satisfies the key system elements of AS/NZS ISO 9001:2016 or ISO 9001:2015. These elements are listed in Guidelines for Registration as an Approved Consultant for Building Construction and Maintenance Services.The levels of registration for which second party quality assurance is mandatory include:Strategic Services where the commission fee level exceeds $200 000; andEngineering Project Services where the component cost level exceeds $2 million; andArchitecture Project Services where the project cost exceeds $5 million.The levels of registration for which third party quality assurance is mandatory include:Architecture Project Services in excess of $10?million.Does the contractor have a quality assurance system in place? (NB: evidence may be requested).Y / NDoes the applicant currently hold quality assurance certification?Y / NWhat is the level of quality assurance accreditation?achieved?(Second or third party certification) FORMCHECKBOX Second Party Certification FORMCHECKBOX Third Party CertificationIf third party certification is held, please provide?certification?category(AS/NZS ISO 9001:2016 or ISO 9001:2015)Applicants holding second and third party certification must provide a certificate of compliance with this application. Accreditation expiry dateQuality Auditor Name:Auditor’s Address:A Quality Assurance Manual for Consultants, a Checklist and a list of Second and Third Party Quality Assurance Auditors can be found at: contact the Prequalification and Procurement Analyst, Procurement, Risk and Contract Management Branch if you have any queries regarding the quality assurance process.Financial Include with your application a statement from your accountant regarding the financial viability of your firm. Please do not forward specific financial details.The Application Declaration contains clauses relating to the financial viability of the business and contains an undertaking that the consultant will provide details of any adverse change in the financial position as soon as practicable after the change in circumstances become known.The consultant, by making an application for registration, is also deemed to have agreed to provide details of the financial position of the business to Treasury, should these details be requested during the registration process or at any time during the pre-qualification anisationThis section is for the consultant to describe the history of the practice, management, relationship to other consultants, location of offices in Tasmania and to confirm availability of suitable computer systems and software.HistoryPlease provide a brief history of the practice.Management Please describe the organisation structure, the number of Directors and Managers and how responsibilities are allocated.Affiliated ConsultantsPlease describe any relationship to mainland or Tasmanian consultants, how these relationships enhance the service offered, how the work is allocated or undertaken, and who leads these commissionsOffice Location(s) State location of company office(s):Equipment and SystemsPlease indicate the equipment and systems currently in use by the applicant business:NATSPEC SPECIFICATION SYSTEMY / NSubscriber ID:Other specification system(s) used:AUTOCADY / NVersionOther drawing system(s) used:Other software:EmployeesPlease complete the following table for all professional and technical staff that are permanent full time or permanent part time employees of the company in Tasmania. Professional StaffNameProfessionPositionBuilding Services Provider Licence Number (if applicable) (Note: previously Practitioner Accreditation Number)Note: Further details of professional employees (including other licences held) may be provided in an attachment titled Appendix A. Technical StaffNamePositionBuilding Services Provider Licence Number (if applicable)(Note: previously Practitioner Accreditation Number)Other EmployeesNamePositionProfessional Employees Experience in each Category Information regarding the experience of each member of staff within each category should be set out in an attachment titled Appendix B.Project Experience and PerformanceThis section is for the applicant to list recent projects relevant to the categories for which registration is sought.An attachment titled Appendix C may be used to provide the information required.All projects included must have been undertaken in the past three years. Projects undertaken in the past five years may be considered at the discretion of the assessment panel.Please list relevant projects under each category of registration applied for. Where a project is relevant to more than one category list it under each category. The largest two projects undertaken in each category should be described in the following detail:registration category;project title;commission fee, project cost or component cost as appropriate;year project completed;description of project including any special issues; andname and telephone number of the client’s Project ernment Project ExperienceThis section is for the applicant to schedule the projects undertaken for government over the past five years.An attachment titled Appendix D may be used to provide the information required.For each project list the following information:project title;Commission Fee, Project Cost or Component Cost as appropriate;year project completed; andname and telephone number of the agency project manager.Occupational Health and SafetyAll consultants engaged in government building contracts must comply with and ensure that all employees, sub-consultants and agents comply with the requirements of the Work Health and Safety Act 2012, the Work Health and Safety Regulations 2012 and any other instructions made under any Act or subordinate legislation, whether State or Federal which are in any way applicable to the performance of the consultants services.RefereesAll applicants are require to nominate at least three referees who have had direct experience with the projects listed in this application. At least one referee must be able to comment on the ability of the applicant in each category for which registration is being sought. Referee?Name and PositionCompany?Name/ Government DepartmentTelephone Number and Email Address Project(s) known to the refereeGeneral comments in support of applicationAny additional comments to supplement information already provided in the application may be provided in the space below:Details of Professional EmployeesPlease provide the following details for Partners, Directors and each professional employee of the applicant organisation. All applicants should ensure that information supplied supports the categories and level of registration for which the application is being made.NameProfessionProfessional AssociationMembership LevelYears of Professional ExperienceSignificant Projects in past five yearsProject NameComponent /Project Cost or Commission Fee ($) (please specify)Project Completion DateNature of Involvement in the ProjectExamples: South Park Primary SchoolParks & Reserves Development PlanComponent Cost $1.3 MFee $150K 20122013Design, documentation & project admin.Strategic Planning – support roleStaff experience in each categoryPlease provide information relating to the experience of each member of staff in each category for which registration is being sought.Provide this information for Partners, Directors and all professional employees by name.Other information provided in the application must support information in this schedule.Strategic ServicesProject Design ServicesPersonDisciplineStrategic?Asset ManagementManagement ofProjectsManagement?of MaintenanceHeritage?Conservation PlanningArchitecturalCivil EngineeringElectrical EngineeringMechanical EngineeringOther Disciplines(Name)(Profession)(Tick the appropriate box for specialisation category)Project experience and performanceProvide examples of two projects in each category undertaken in the past three years.Registration CategoryProject TitleComponent/Project Cost or Commission Fee (Please Specify)Year Project CompletedDescription ofProjectName and telephone number of the client’s Project ManagerEmail address Registration CategoryProject TitleComponent/Project Cost or Commission Fee (Please Specify)Year Project CompletedDescription ofProjectName and telephone number of the client’s Project ManagerEmail address Project experience and performanceProvide examples of two projects in each category undertaken in the past three years.Registration CategoryProject TitleComponent/Project Cost or Commission Fee (Please Specify)Year Project CompletedDescription ofProjectName and telephone number of the client’s Project ManagerEmail addressRegistration CategoryProject TitleComponent/Project Cost or Commission Fee (Please Specify)Year Project CompletedDescription ofProjectName and telephone number of the client’s Project ManagerEmail addressGovernment project experiencePlease list your organisation’s experience in undertaking major works projects for state government departments over the past five yearsProjectProject / Component Cost or Commission Fee ($) (Please Specify) Year Project CompletedAgency’s Project Manager ................
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