Quotation / Tender Summary Form Required to summarise Quotations and Tenders for Goods / Services Tender Document Tender Panel req’d? Contractor Agreement req’d? Notes RFP No No 1 >$200K RFQ or RFP Yes No 1, 3 <$50K RFP No Yes 1 >$50K but <$200K RFP Yes Yes 1, 2 RFQ or RFP Yes Yes 1, 2, 3 Type of purchase Threshold value Goods / General Services: >$20K but <$200K Consultancy / Contractor Services >$200K Select type 5 Notes: 1. Minimum Number of Three (3) Quotes or Submissions required 2. A Requisition must be raised and approved by Director Strategic Procurement Group prior to creation of Purchase Order 3. Tenders in excess of $200K must be distributed via the Tenderlink e-Tendering portal 4. Double click on a Check Box and change Default Value to “Checked” to mark type of purchase summarised on form Related SAP document(s) Requisition Number Purchase Order Number N/A 45587352 Department / Section BIOCHEMISTRY Contact person (Name / Phone) Maxine Rebstadt 50536 Prof. James Whisstock 53747 Project Leader / Chair Tender Panel Brief description of goods/services required: AKTA/FPLC SYSTEM X 2 Suppliers / Contractors / Consultants from whom competitive proposals were sought: Name of Supplier(s) / Contractor(s) / Consultant(s) Submitted price G E Healthcare Biosciences $75295.00 ex gst $ $ Successful Supplier / Contractor / Consultant selected to provide service/goods Name GE Healthcare Biosciences ABN Address of Contractor/ Supplier PO BOX 21 ACN Rydalmere NSW Post Code 1701 SAP Vendor # 61164 533583118 25001541653 Page 1 of 2 Quotation / Tender Summary Form Reason(s) for selection of Supplier / Contractor / Consultant: see Note 5 for instructions Lowest Quote Best value for money Only one quote/ bid sought Addition to current job Previous experience Monash Endorsed Supplier used Other (reason required below) Specific, grant-based purchase (details required below) Reason for selecting Supplier Contractor / Consultant…. or….. details on granting body This purchase of 2x AKTA/FPLC replaces an earlier problematic system which is now being refunded this purchase is at a special total packaged price of $75,295.00 as apposed to the full price of $100,394.00.ex gst If only one Supplier / Contractor/ Consultant was invited to quote or the Supplier / Contractor/ Consultant selected did not submit the lowest price, provide reason for rejecting the lowest priced quote/ bid or why only one bid sought. AS ABOVE Authorisation by Tender Panel: (where required for Purchasing Tenders over $200K or Consultancy Agreements over $50K) Signature Title Name Date Note: Minimum of three signatures required. Add more lines above, if required Instructions on lodgement of the Tender / Quotation Form: 1. The Tender / Quotation Summary Form is to be faxed (x 56353), or forwarded by internal mail, to Monash Procurement. The lodgement of the form is required before release in SAP can be completed. 2. Please ensure all relevant documentation is attached enabling prompt release / approval of associated Requisition or Purchase Order. Procurement Office use only Authorised / Released by: ................................................................... Date .......................................... Authorised / Released by: ................................................................... Date: ......................................... 533583118 Page 2 of 2