Part C – Response Form
Expression of Interest (EOI)
PART C – Response Form
Name:
2015-16 Murray Region TSR Long Term Grazing Permits EOI
Applicant Name:
Applicant
Address:
ABN:
PIC:
Reserve Name:
Reserve Number:
Murray Local Land Services
Version Approved 021215
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Part C – Response Form
1. General Information for Respondents

This Part C – Response Form must be completed and forms part of the EOI
response.

Please ensure all sections in Part C are fully addressed and all details are provided.
Provide attachments where necessary, clearly labelled and cross-referenced.
2. Respondent/contact person:
Name:
Position:
Telephone no:
Mobile no:
Facsimile no:
e-mail address:
3. Respondent’s current insurance details:The Respondent must maintain Public
Liability Insurance of $20million for the duration of the LTGP. A copy of the relevant
Insurance Policy or Certificate of Currency is to be submitted with acceptance.
Insurer
Policy type
Policy No.
Limit
Expiry Date
4. Has the Respondent read, understood and accepted the terms of all EOI
documents including?
Part A – Information about this EOI:
Yes
No
[Please provide details where there are genuine reasons why not]
Part B – Long Term Grazing Permit including terms and conditions:
Murray Local Land Services
Version Approved 021215
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Part C – Response Form
Yes
No
[Please provide details where there are genuine reasons why not]
Part D – Eastern TSR list including site maps:
Yes
No
5. Is the Respondent aware of any real or perceived conflicts of interest that
may exist?
Yes
[Please provide details]
No
Murray Local Land Services
Version Approved 021215
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Part C – Response Form
6. Response to the evaluation criteriaThe Respondent must respond to each of the
evaluation criteria. (As stated in Part A, this list is not exhaustive and Murray Local Land
Services may take into account other considerations when evaluating Responses.)
Note: A separate individual Expression of Interest form (Part C – Response Form) must be
submitted for each TSR.
Evaluation
criterion (i)
The nominated amount being the annual dollar value for a grazing permit
over the nominated TSR.
NOTE:
A $100 minimum price must be tendered for a reserve (ex GST)
All tendered prices are subject to an annual Consumer Price Index (CPI)
increase.
Tendered annual price - $
Murray Local Land Services
Version Approved 021215
(Exclusive of GST)
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Part C – Response Form
Evaluation
criterion (ii)
Proposed approach to managing the TSR.
Past record of TSR management will be considered if you have previously held a
permit OR describe past experience of any other Crown land
management/permits held on public land (fill out field below).
1.
a) Relevant livestock production and land management experience. (Any
records available to LLS on livestock or land/invasive species
management will be considered)
Circle below
Relevant livestock and land management experience
(Yrs)
Fence maintenance/ construction experience (Yrs)
Weed management experience (Yrs)
0-5
5-10
10-20
>20
0-5
5-10
10-20
>20
0-5
5-10
10-20
>20
b) Capacity to manage the TSR (ie resources/ materials to undertake
management)
Circle below
Weed management resources
Fencing maintenance/ construction equipment
Murray Local Land Services
Version Approved 021215
Hand
tools
Pump
spray
Y
Quad
mounted
spray
unit
Ute/
tractor
mounted
unit
N
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Part C – Response Form
Evaluation
criterion
(iii)
Locality:
Are you a direct neighbour to this TSR?
Yes
2.
No
Circle: Share a fence
Across the road
Distance to TSR (km)
1 - 10
Across the watercourse
10-30
30-50
>50
7. Does the Respondent certify that the information contained in this
Response is true and correct, and submitted in good faith?
Yes
No
8. Signed by the Tenderer or Respondent’s authorised representative who
warrants that he or she has authority to submit this Response on behalf of
the Respondent:
Applicant’s
Signature:
Name:
Position:
Date:
Murray Local Land Services
Version Approved 021215
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