PC2324 Panel Contract Submission Please enable JavaScript in your browser to complete this form. - Step 1 of 5Please confirm you have read and agree to Wentworth Shire Council’s Statement of Business Ethics which can be accessed here.Business Ethics Statement *I have read Statement of Business EthicsProvide reasons for not submitting in 2023 *Legal EntityCompany's Legal Name *Trading NameCompany Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeABN *ACNAre you registered for GST? *YesNoPrimary Contact Name *FirstLastEmail *Contact Phone *Authority to Provide DetailsFull name of signatory *Position of signatory *Signature * Clear Signature Sign your name using your mouse, finger or touch deviceDate *NextINSURANCE DETAILS (INFORMATION TO BE SUBMITTED WITH TENDER) Please provide details of the insurance cover which the Tenderer has in respect of the insurances required under the Contract.Current Service Provider *YesNoHave you supplied services to council in the last 12 months?Public Liability InsurancePL Insurance Companies *PL Policy Number(s) *PL Expiry Date(s) *PL Policy Amount ($) *PL Insurance Evidence * Click or drag files to this area to upload. You can upload up to 2 files. Evidence of relevant insurance cover is to be supplied in the following way: * An original or certified copy of the full insurance policy (Certificate ofCurrency); and * Certification from the Insurer to show that each policy is current.Professional Indemnity InsurancePI Insurance CompaniesPI Policy Number(s)PI Expiry Date(s)PI Policy Amount ($)PI Insurance Evidence Click or drag files to this area to upload. You can upload up to 2 files. Evidence of relevant insurance cover is to be supplied in the following way: * An original or certified copy of the full insurance policy (Certificate ofCurrency); and * Certification from the Insurer to show that each policy is current.Workcover InsuranceWC Insurance CompaniesWC Policy Number(s)WC Expiry Date(s)WC Policy Amount ($)WC Insurance Evidence Click or drag files to this area to upload. You can upload up to 2 files. Evidence of relevant insurance cover is to be supplied in the following way: * An original or certified copy of the full insurance policy (Certificate ofCurrency); and * Certification from the Insurer to show that each policy is current.Motor Vehicle / Plant InsuranceMP Insurance CompaniesMP Policy Number(s)MP Expiry Date(s)MP Policy Amount ($)MP Insurance Evidence Click or drag files to this area to upload. You can upload up to 2 files. Evidence of relevant insurance cover is to be supplied in the following way: * An original or certified copy of the full insurance policy (Certificate ofCurrency); and * Certification from the Insurer to show that each policy is current.PreviousNextPC2324/01 - Trades and Professional ServicesAll pricing to include GST. ** Only complete this section if are submitting pricing for PC2324/01 Supply of Building Trades and Professional Services.How many services do you wish to list?123456Service #1Professional Service #1Arboricultural Assessment & ConsultancyAsbestos Management & RemovalCleaning ServicesConcrete Cutting ServicesConcrete Works & RepairsConsultancy Services - EnvironmentElectrical Services - GeneralElectric Services - IndustrialFencing Repair ServicesGeotechnical ServicesHandyman General Works & Repairs (not trade qualified)Locksmith ServicesPainting & Decorating ServicesPlumbing - IndustrialPlumbing & Gas Services - GeneralPump Repairs & servicingRCD TestingRefrigeration Technicians - generalRoadside SprayingSecurity Services - EventsSeptic Pump OutStump GrindingSurveying ServicesTesting & Tagging Electrical EquipmentTiling Repair ServicesTraffic Controllers - Transport for NSW QualifiedTree RemovalTree Services - GeneralDetails of services offered #1Hours service offered #1Standard HoursAfter HoursMaterial markup (%) #1Labour only rate per hour for each zone (inclusive of GST, travel & accommodation). View Zone MapZone 1 (0-30km) #1Zone 2 (30km-75km) #1Zone 3 (75km-120km) #1Zone 4 (120km+) #1Service #2Professional Service #2Arboricultural Assessment & ConsultancyAsbestos Management & RemovalCleaning ServicesConcrete Cutting ServicesConcrete Works & RepairsConsultancy Services - EnvironmentElectrical Services - GeneralElectric Services - IndustrialFencing Repair ServicesGeotechnical ServicesHandyman General Works & Repairs (not trade qualified)Locksmith ServicesPainting & Decorating ServicesPlumbing - IndustrialPlumbing & Gas Services - GeneralPump Repairs & servicingRCD TestingRefrigeration Technicians - generalRoadside SprayingSecurity Services - EventsSeptic Pump OutStump GrindingSurveying ServicesTesting & Tagging Electrical EquipmentTiling Repair ServicesTraffic Controllers - Transport for NSW QualifiedTree RemovalTree Services - GeneralDetails of services offered #2Hours service offered #2Standard HoursAfter HoursMaterial markup (%) #2Labour only rate per hour for each zone (inclusive of GST, travel & accommodation). View Zone MapZone 1 (0-30km) #2Zone 2 (30km-75km) #2Zone 3 (75km-120km) #2Zone 4 (120km+) #2Service #3Professional Service #3Arboricultural Assessment & ConsultancyAsbestos Management & RemovalCleaning ServicesConcrete Cutting ServicesConcrete Works & RepairsConsultancy Services - EnvironmentElectrical Services - GeneralElectric Services - IndustrialFencing Repair ServicesGeotechnical ServicesHandyman General Works & Repairs (not trade qualified)Locksmith ServicesPainting & Decorating ServicesPlumbing - IndustrialPlumbing & Gas Services - GeneralPump Repairs & servicingRCD TestingRefrigeration Technicians - generalRoadside SprayingSecurity Services - EventsSeptic Pump OutStump GrindingSurveying ServicesTesting & Tagging Electrical EquipmentTiling Repair ServicesTraffic Controllers - Transport for NSW QualifiedTree RemovalTree Services - GeneralDetails of services offered #3Hours service offered #3Standard HoursAfter HoursMaterial markup (%) #3Labour only rate per hour for each zone (inclusive of GST, travel & accommodation). View Zone MapZone 1 (0-30km) #3Zone 2 (30km-75km) #3Zone 3 (75km-120km) #3Zone 4 (120km+) #3Service #4Professional Service #4Arboricultural Assessment & ConsultancyAsbestos Management & RemovalCleaning ServicesConcrete Cutting ServicesConcrete Works & RepairsConsultancy Services - EnvironmentElectrical Services - GeneralElectric Services - IndustrialFencing Repair ServicesGeotechnical ServicesHandyman General Works & Repairs (not trade qualified)Locksmith ServicesPainting & Decorating ServicesPlumbing - IndustrialPlumbing & Gas Services - GeneralPump Repairs & servicingRCD TestingRefrigeration Technicians - generalRoadside SprayingSecurity Services - EventsSeptic Pump OutStump GrindingSurveying ServicesTesting & Tagging Electrical EquipmentTiling Repair ServicesTraffic Controllers - Transport for NSW QualifiedTree RemovalTree Services - GeneralDetails of services offered #4Hours service offered #4Standard HoursAfter HoursMaterial markup (%) #4Labour only rate per hour for each zone (inclusive of GST, travel & accommodation). View Zone MapZone 1 (0-30km) #4Zone 2 (30km-75km) #4Zone 3 (75km-120km) #4Zone 4 (120km+) #4Service #5Professional Service #5Arboricultural Assessment & ConsultancyAsbestos Management & RemovalCleaning ServicesConcrete Cutting ServicesConcrete Works & RepairsConsultancy Services - EnvironmentElectrical Services - GeneralElectric Services - IndustrialFencing Repair ServicesGeotechnical ServicesHandyman General Works & Repairs (not trade qualified)Locksmith ServicesPainting & Decorating ServicesPlumbing - IndustrialPlumbing & Gas Services - GeneralPump Repairs & servicingRCD TestingRefrigeration Technicians - generalRoadside SprayingSecurity Services - EventsSeptic Pump OutStump GrindingSurveying ServicesTesting & Tagging Electrical EquipmentTiling Repair ServicesTraffic Controllers - Transport for NSW QualifiedTree RemovalTree Services - GeneralDetails of services offered #5Hours service offered #5Standard HoursAfter HoursMaterial markup (%) #5Labour only rate per hour for each zone (inclusive of GST, travel & accommodation). View Zone MapZone 1 (0-30km) #5Zone 2 (30km-75km) #5Zone 3 (75km-120km) #5Zone 4 (120km+) #5Service #6Professional Service #6Arboricultural Assessment & ConsultancyAsbestos Management & RemovalCleaning ServicesConcrete Cutting ServicesConcrete Works & RepairsConsultancy Services - EnvironmentElectrical Services - GeneralElectric Services - IndustrialFencing Repair ServicesGeotechnical ServicesHandyman General Works & Repairs (not trade qualified)Locksmith ServicesPainting & Decorating ServicesPlumbing - IndustrialPlumbing & Gas Services - GeneralPump Repairs & servicingRCD TestingRefrigeration Technicians - generalRoadside SprayingSecurity Services - EventsSeptic Pump OutStump GrindingSurveying ServicesTesting & Tagging Electrical EquipmentTiling Repair ServicesTraffic Controllers - Transport for NSW QualifiedTree RemovalTree Services - GeneralDetails of services offered #6Hours service offered #6Standard HoursAfter HoursMaterial markup (%) #6Labour only rate per hour for each zone (inclusive of GST, travel & accommodation). View Zone MapZone 1 (0-30km) #6Zone 2 (30km-75km) #6Zone 3 (75km-120km) #6Zone 4 (120km+) #6PreviousNextPC2324/02 - Hire of Construction Plant and EquipmentUpload the spreadsheet file you have completed containing your plant list and rates. If you forgot to download this previously, then get it here All pricing to include GST. ** Only complete this section if are submitting pricing for PC2324/02 Hire of Construction Plant and EquipmentUpload completed Plant List XLS Click or drag a file to this area to upload. Upload the plant list you have completedPreviousNextPC2324/03 - Supply of Road Construction MaterialsUpload the spreadsheet file you have completed containing your materials list and rates. If you forgot to download this previously, then get it here All pricing to include GST. ** Only complete this section if are submitting pricing for PC2324/03 Supply of Road Construction Materials.Upload completed Materials List XLS Click or drag a file to this area to upload. Upload the materials list that you have completed. PreviousSubmit
