Phase 2 Customer Services Training (if offered) The same criteria is included as above in Phase 1 Total cost (AUD) exclusive of GST $ - Declaration in Relation to Unlawful Collusion Re: (“the …………………………………………………………………………………… Procurement”) [insert name of Procurement] I , ……………………….of ……………………………………………………………. [insert name and address of declarant] do hereby declare as follows: 1. I hold the position of Ltd (“the Supplier”) and ……………within ……….……………..Pty that I am authorised to provide this declaration on its behalf. 2. I confirm that the Offer submitted by the Supplier is independent and that there has not been any unlawful collusion with any other Supplier or party in connection with this Procurement Process. This clause does not apply to any formal joint venture contractual arrangement entered into between the Supplier and any other person(s), the details of which have been provided to Coffey as part of the Offer submitted by the Supplier. 3. I confirm that the total value of the goods and/or services to be provided by to the extent known at the time of making this declaration, is $................... . 4. [where that value exceeds either of $1,000,000 (GST inc) or 25% of the total value of Attached hereto is a complete list of all sub-contractors, the value, and the the Offer] nature of the work to be provided under each sub-contract, to the extent known at the time of making this declaration. 5. I understand that if any part of this declaration is found to be false, Coffey reserves the right (regardless of any subsequent dealings) to: terminate negotiations with the Supplier; terminate consideration of the Supplier’s Offer; and terminate any contract between the Supplier and Coffey in relation to the Procurement without any obligation on Coffey to make any payment to the Supplier. 20 ………………………………………. ……../……../ …
Phase 2 Customer Services Training (if offered) The same criteria is included as above in Phase 1 Total cost (AUD) exclusive of GST $ - Declaration in Relation to Unlawful Collusion Re: …………………………………………………………………………………… (“the Procurement”) [insert name of Procurement] I , ……………………….of ……………………………………………………………. [insert name and address of declarant] do hereby declare as follows: 1. I hold the position of ……………within ……….……………..Pty Ltd (“the Supplier”) and that I am authorised to provide this declaration on its behalf. 2. I confirm that the Offer submitted by the Supplier is independent and that there has not been any unlawful collusion with any other Supplier or party in connection with this Procurement Process. This clause does not apply to any formal joint venture contractual arrangement entered into between the Supplier and any other person(s), the details of which have been provided to Coffey as part of the Offer submitted by the Supplier. 3. I confirm that the total value of the goods and/or services to be provided by to the extent known at the time of making this declaration, is $................... . 4. [where that value exceeds either of $1,000,000 (GST inc) or 25% of the total value of the Offer] Attached hereto is a complete list of all sub-contractors, the value, and the nature of the work to be provided under each sub-contract, to the extent known at the time of making this declaration. 5. I understand that if any part of this declaration is found to be false, Coffey reserves the right (regardless of any subsequent dealings) to: terminate negotiations with the Supplier; terminate consideration of the Supplier’s Offer; and terminate any contract between the Supplier and Coffey in relation to the Procurement without any obligation on Coffey to make any payment to the Supplier. ………………………………………. ……../……../ 20 …
RFT-AM-3035-Part-D.docx