SECTION 4: Form of Tender Part B: General, Price, Due

Diligence and Declaration

PART A AND PART B OF THE FORM OF TENDER MUST BE SUBMITTED AS
SEPERATE DOCUMENTS
Main Contractor for Block 1 DQLS Upgrade (AMS Combined) at Papatoetoe
Intermediate School
Tenderer’s Details
Tenderer name: Click here to enter text.
Full legal name (if different) [Legal name]
Physical address [Main or head office]
Postal address [E.g. P.O Box address]
Registered office [Registered office if applicable]
Business website [URL]
Type of entity (legal status) [E.g. sole trader/partnership/limited liability company]
Registration number [Company registration number if applicable]
Country of residence [Country where the Tenderer is resident for tax purposes]
GST registration number [NZ GST number OR Overseas based]

Joint Venture / Consortium or similar arrangement (“N/A” if not applicable)

Type of arrangement [Type of arrangement]
Participants [Names of organisations participating in the arrangement]
[Any other relevant information such as name of lead organisation,
Details
history]

Tenderer’s Contact Person

Contact person [Full name of the person authorised to represent the Tenderer]
Title/position [Title/position of the Tenderer’s contact person]
Telephone number [Area code - number]
Mobile number [Prefix - number]
Email address [Email address]

Referees
[For closed RFTs following open ROI: delete if referees have been requested in the
preceding ROI]
Provide the details of two referees from recent customers for whom you have delivered
comparable Contract Works. Tenderers must ensure that the referees have agreed to be
referees and are aware that they may be contacted by the Principal. By providing these
contact details you authorise the Principal contacting these referees, collecting information
about the Tenderer and using such information for the evaluation (including due diligence)
of the Tender. You also agree that information provided by referees will be confidential to
the Principal.
Referee One
Organisation name [Organisation name]
Contact name: [Contact name]
Telephone [Contact telephone number]
Email [email address]
Referee Two
Organisation name [Organisation name]
Contact name [Contact name]
Telephone [Contact telephone number]
Email [email address]

Police Vetting
As per paragraph 2.2e, confirm that all personnel (including all sub-contractors) who are likely to have
unsupervised access to students at the school during normal school hours agree to be Police vetted
(If unable to confirm, provide an explanation).
Note:
“Unsupervised” means not chaperoned by a school staff member or parent.
A Police vet is a review by the School of a person’s criminal conviction and other relevant
information held by the New Zealand Police Vetting Service.
[Confirmed / Not Confirmed: [Explanation]]

Insurance
Confirm that for the Contract Works, you agree to be insured for accidental loss and/or
damage under the Ministry’s Contract Works Insurance (including an excess of
$5,000 except for an excess of $25,000 for loss arising from testing and
commissioning)(Insurance for school property projects). If unable to confirm, provide
an explanation.
[Confirmed / Not Confirmed: [Explanation]]
Confirm that for the Contract Works, you agree to maintain a minimum of Public Liability
insurance. If unable to confirm, provide an explanation.
[Confirmed / Not Confirmed: [Explanation]]
Confirm that you maintain a minimum of third-party motor vehicle insurance for all vehicles
to be used to deliver the Contract Works. If unable to confirm, provide an
explanation.
[Confirmed / Not Confirmed: [Explanation]]
Confirm that you maintain sufficient insurance for all plant and equipment to be used to
deliver the Contract Works. If unable to confirm, provide an explanation.
[Confirmed / Not Confirmed: [Explanation]]

Due Diligence
The Principal may undertake checks to assess the risk of entering into a Contract
with a Tenderer. A Tender/Tenderer may be excluded from further evaluation or
selection as preferred if the Principal determines that entering into a Contract with a
Tenderer represents a significant risk to the Principal. In this section “the Tenderer”
includes any joint venture/consortium participant as listed in Section 4.5.
Confirm that there are no events, matters or circumstances whether actual, contemplated or
threatened, that have or may represent a risk to the Principal or affect your ability to
satisfactorily deliver the Contract Works including (but not limited to):
actions of insolvency proceedings, bankruptcy, administration (voluntary or
otherwise), statutory management, compulsory winding up, receivership or
similar
legal proceedings, investigation, or the threat of investigation by any regulatory or
investigative authority such as the Commerce Commission, Serious Fraud Office
or the Financial Markets Authority
structural/ownership changes (e.g. merger, sale, restructure)
disputes (e.g. union dispute, legal dispute, court action)
being declared a threat to national security or the confidentiality of sensitive
government information
being designated as a terrorist by New Zealand Police.
If unable to confirm, provide an explanation.
[Confirmed / Not Confirmed: [Explanation]]
Confirm that your organisation is not a “phoenix” organisation or similar (an organisation
which has an association with (e.g. common directors/shareholders) or that is used to
 take on the business of a failed organisation or an organisation considered to have a
poor reputation).
If unable to confirm, provide an explanation including the name of the organisation.
from which your organisation is a phoenix organisation.
[Confirmed / Not Confirmed: [Explanation]]
Confirm that no director, principal or Key Personnel of your organisation:
is the subject of any legal proceedings, investigation or the threat of investigation
by any regulatory or investigative authority such as the Commerce Commission,
Serious Fraud Office or the Financial Markets Authority
has been convicted of a criminal offence related to business or professional
conduct
has been declared to be bankrupt, in receivership or liquidation
has made a false declaration
has had a serious performance issue in relation to previous Contract Works
has been convicted of professional misconduct or any serious crime or offence (or
has any pending)
has performed an act or omission which has adversely reflected on the commercial
integrity of your organisation
has failed to pay taxes, duties, or other levies
has been declared a threat to national security or the confidentiality of sensitive
government information
is a person or organisation designated as a terrorist by New Zealand Police.
If unable to confirm, provide an explanation.
[Confirmed / Not Confirmed: [Explanation]]

Conflicts of Interest
Confirm that you are not aware of any circumstance that may represent an actual, potential,
or perceived Conflict of Interest between your interests and your
duties/responsibilities in delivering the Contract Works. If unable to confirm, provide
an explanation.
[Confirmed / Not Confirmed: [Explanation]]
Confirm that you are not aware of any of the Principal’s personnel having any interest in, or
association with your organisation that may give rise to any perceived, potential or
actual Conflicts of Interest. If unable to confirm, provide an explanation.
[Confirmed / Not Confirmed: [Explanation]]

Tags and Assumptions

Medium Works Contract related Tags will not be considered. The Principal prefers
there to be no drawings and specification related Tags.
Confirm that there are no drawings/specifications related Tags. If not confirmed, provide the
following detail for each Tag:
Drawing/specification reference
a full description of the drawings/specifications related Tag
your reasons for proposing the Tag
[Confirmed / Not Confirmed (detail each Tag as above)]
Confirm that your Tender is not based on any assumptions. If unable to confirm, provide the
following detail for each assumption:
Tender document reference
a full description of the assumption
the potential impact of the assumption.
[Confirmed / Not Confirmed (detail each assumption as above)]

Price Weighting 70%

As per paragraph 2.5 and on the basis that the Tenderer has examined the site and all
Tender Documents for the Contract Works, state the total Price to carry out, supply,
construct, complete, deliver and remedy defects in the whole of the said Contract Works in
conformity with these Tender Documents (or such other sum as may be ascertained in
accordance with the Contract Documents).
Complete and append the Schedule of Prices template (attached to the GETS Tender
Notice for this RFT), ensuring that it is consistent with the total Price stated below.
A Schedule of Prices has been completed and is attached.
$[Total Price] (excluding GST)

Tenderer’s Declaration
Item Declaration Declaration
I have read and fully understand this RFT including the RFx
RFx Process
Process Terms and Conditions (Section 1.6) and related
Terms and [Agree/Disagree]
GETS questions/answers and Tender Notifications. I confirm
Conditions
that the Tenderer agrees to be bound by them.
I authorise the Principal to:
a. collect relevant information about my organisation
and Key Personnel (except commercially sensitive
Collection of
pricing information) from any relevant third party,
further [Agree/Disagree]
including a referee, or previous or existing client and
information
b. use such information in the evaluation of this Tender.
The Tenderer agrees that all such information will be
confidential to the Principal.
I have examined the site and read and fully understand the
nature and extent of The Requirement (Section 2). I confirm
The
that the Tenderer has the necessary capability and capacity [Agree/Disagree]
Requirement
to fully meet or exceed the Requirement (satisfactorily deliver
the Contract Works by the Due Date for Completion).
In submitting this Tender, the Tenderer confirms that it:
a. has not entered into any improper, illegal, collusive or
anti-competitive arrangements with any competitor
b. has not directly or indirectly approached any
representative of the Principal (other than the Point of
Ethics [Agree/Disagree]
Contact) to lobby or solicit information in relation to
the RFT
c. has not attempted to influence, or provide any form of
personal inducement, reward or benefit to any
representative of the Principal.
I confirm that this Tender, including the price, remains open
Offer Validity
for acceptance by the Principal for the Offer Validity Period [Agree/Disagree]
Period
stated in Section 1.6.
All Conflicts of Interest that the Tenderer is aware of have
been reported in the Conflict of Interest Section of the Form
Conflicts of
of Tender. Where a Conflict of Interest arises during the RFT [Agree/Disagree]
Interest
process, the Tenderer will report it immediately to the Point of
Contact.
DECLARATION
I declare that in submitting this Tender and declaration:
the information provided is true, accurate and complete and not misleading in any material
respect
the Tender does not contain intellectual property that will breach any third party’s rights
I have secured all appropriate authorisations to submit this Tender, to make the statements
 and to provide the information in the Tender and I am not aware of any impediments to
entering into a Contract to deliver the Contract Works.
I understand that the falsification of information, supplying misleading information or the
suppression of material information in the Tender and this declaration may result in the
Tender being eliminated from further evaluation or selection and may be grounds for
termination of any Contract awarded as a result of the RFT.
By signing this declaration, the signatory below confirms that he/she has been authorised by the
Tenderer to make this declaration on its behalf.
[Signature of the person authorised to represent the Tenderer]
Signature:
Full name: [Full name of the person authorised to represent the Tenderer]
[Title/position of the person authorised to represent the Tenderer]
Title/position:
The Tenderer
Tenderer name:
[Date]
Date:

Tenderer’s Checklist 
All Sections of the Form of Tender (Parts A and B) have been completed. ☐
Form of Tender Parts A and B are submitted as separate documents. ☐
The Tenderer’s Declaration has been completed and signed by the person authorised to
☐
represent the Tenderer
Referees detailed in the Tender have agreed to be referees and are aware that they may be
☐
contacted by the Principal.
The following documents are being submitted by the Tenderer:
Form of Tender Part A (completed) ☐
Form of Tender Part B (completed) ☐
Schedule of Prices (completed) ☐
Preliminary works programme ☐
Draft or example SSSP ☐
Evidence of health and safety accreditation ☐
CVs of Key Personnel ☐
Organisational chart ☐