LTGP-EOI_Response-Form-0215

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EOI Response Form
Expression of Interest (EOI)
For Long Term Grazing on Travelling Stock Reserves
in the Central Tablelands Region
Response Form
Central Tablelands Local Land Services
Version 1 Approved 240215
Page 1
EOI Response Form
1. General Information for Respondents

This response form must be completed.

Please ensure all questions are fully addressed and full details are provided. Provide
attachments where necessary, clearly labelled and cross-referenced.
2. Details of the Respondent:
Name of legal entity:
Trading Name:
ABN:
Address:
Telephone no:
Facsimile no:
e-mail address:
LLS holding reference
number (if applicable):
3. The Respondent’s contact person:
Name:
Position:
Telephone no:
Mobile no:
Facsimile no:
e-mail address:
4. Respondent’s current insurance details:
Insurer
Policy type
Policy No.
Limit
Expiry Date
5. Has the Respondent read, understood and accepted the terms of all
EOI documents including:
Statement of Requirements:
Yes
No
- [Please provide details of non-compliance]
Central Tablelands Local Land Services
Version 1 Approved 240215
Page 2
EOI Response Form
6. Is the Respondent aware of any real or preceived conflicts of interest
existing?
Yes
[Please provide details]
No
7. Response to the evaluation criteria
The Respondent must respond to each of the evaluation criteria.
Note: A separate Expression of Interest form must be submitted for each TSR.
Nominated TSR:
Evaluation
criterion
(i)
The nominated amount being the annual dollar value for a grazing permit
over the nominated TSR. A neighbour with a contiguous boundary to a
reserve will receive a 25% weighting advantage over other Respondents
($400 from neighbour equates to $500 from non-neighbour).
NOTE: All tendered prices are subject to an annual Consumer Price Index (CPI)
increase.
[insert response]
Evaluation
criterion
(ii)
Proposed approach to managing the TSR (previous record of TSR
management will be considered if respondent has previously held a grazing
permit)
[insert response]
Evaluation
criterion
(iii)
Relevant livestock production and land management experience. (Any
records available to LLS on livestock or land/invasive species management
will be considered)
[insert response]
Central Tablelands Local Land Services
Version 1 Approved 240215
Page 3
EOI Response Form
Evaluation
criterion
(iv)
Capacity of the respondent to manage the TSR (ie proximity to TSR, time
available (work on property, shift work, part time, full time) and resources
(materials to undertake management))
[insert response]
8. Does the Respondent certify that the information contained in this
Response is true and correct, and submitted in good faith?
Yes
No
9. Signed by the Respondent’s authorised representative who warrants
that he or she has authority to submit this Response on behalf of the
Respondent:
Signature:
Name:
Position:
Date:
Central Tablelands Local Land Services
Version 1 Approved 240215
Page 4
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