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Information and Communication Technology (ICT) STANDING OFFER ARRANGEMENT INVITATION TO OFFER NO. <<insert ITO No.>> For the provision of Products and/or Services © State of Queensland (Department of Public Works) 2011. All rights reserved.

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Page 1: SOA ICT ITO template€¦  · Web viewSchedule C2 - Intellectual Property Ownership – Model 1 – Option B (Customer – owned - licence back to Contractor); or. Schedule C2 -

Information and Communication Technology (ICT)STANDING OFFER ARRANGEMENT

INVITATION TO OFFER NO. <<insert ITO No.>>For the provision of Products and/or Services

Version 003 – dated 1 July 2011

© State of Queensland (Department of Public Works) 2011. All rights reserved.

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ICT Standing Offer Arrangement – Invitation to Offer

Table of Contents

SECTION 1 – ICT INVITATION TO OFFER DETAILS.......................................................................................................................... 3

SECTION 2 – ICT STANDING OFFER ARRANGEMENT – CONDITIONS OF OFFER........................................................................6

2.1 ICT STANDING OFFER ARRANGEMENT – CONDITIONS OF OFFER...................................................................6

2.2 ADDITIONAL ICT STANDING OFFER ARRANGEMENT - CONDITIONS OF OFFER..............................................6

SECTION 3 – SPECIFICATIONS.......................................................................................................................................................... 7

3.1 PURPOSE.................................................................................................................................................................. 7

3.2 OBJECTIVES/SCOPE................................................................................................................................................ 7

3.3 BACKGROUND.......................................................................................................................................................... 7

3.4 REQUIREMENTS....................................................................................................................................................... 7

SECTION 4 – OFFER EVALUATION PROCESS & CRITERIA............................................................................................................. 8

4.1 EVALUATION PROCESS.......................................................................................................................................... 8

4.2 EVALUATION CRITERIA........................................................................................................................................... 8

4.3 RESPONSE FORMS.................................................................................................................................................. 8

SECTION 5 – ICT STANDING OFFER ARRANGEMENT CONDITIONS.............................................................................................. 9

5.1 ICT STANDING OFFER ARRANGEMENT CONDITIONS.........................................................................................9

5.2 ADDITIONAL ICT STANDING OFFER ARRANGEMENT CONDITIONS...................................................................9

5.3 CONDITIONS OF CUSTOMER CONTRACT............................................................................................................. 9

5.4 ADDITIONAL ICT CONDITIONS OF CUSTOMER CONTRACT................................................................................9

SECTION 6 – RESPONSE FORMS.................................................................................................................................................... 10

Response Form 6.1 – Offeror Authorisation and Certification..............................................................................................10

Response Form 6.2 – Proposed Products and/or Services and Pricing...............................................................................13

Response Form 6.3 –Proposed Additional Provisions.......................................................................................................... 16

Response Form 6.4 – Schedules of ICT Standing Offer Arrangement.................................................................................17

SCHEDULE 1 – ICT ARRANGEMENT DETAILS................................................................................................................. 17

SCHEDULE 2 – PRODUCTS AND/OR SERVICES AND PRICING.....................................................................................26

SCHEDULE 3 – ADDITIONAL PROVISIONS...................................................................................................................... 27

SCHEDULE A – GITC GENERAL ORDER.......................................................................................................................... 33

SCHEDULE B – GITC – MODULE ORDERS...................................................................................................................... 39

Response Form 6.6 – Existing Arrangements with Queensland Government or other Entities............................................42

Response Form 6.7 – Declaration of Interest and Possible Influences................................................................................43

Response Form 6.8 – Statement of Competitive Neutrality..................................................................................................44

Response Form 6.9 – Check-List......................................................................................................................................... 45

Version 003 – dated 1 July 2011 2

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ICT Standing Offer Arrangement – Invitation to Offer

SECTION 1 – ICT INVITATION TO OFFER DETAILSOffers are invited by the State of Queensland (acting through the <<insert name of department/agency>>) in relation to ICT Invitation to Offer No. <<insert Invitation No.>> for the establishment of a ICT Standing Offer Arrangement for the provision of <<insert brief description of Invitation>> as specified in the ICT Invitation to Offer document.

Offers are to be submitted on the basis that they conform with the following:

Section 2 - ICT Standing Offer Arrangement – Conditions of Offer;

Section 3 - Specifications; and

Section 5 - ICT Standing Offer Arrangement Conditions.

Unless the context otherwise required or the contrary intention appears, terms defined in the ICT Standing Offer Arrangement - Conditions of Offer Version 003 – dated 1 July 2011 have the same meaning when used in the ICT Invitation.

Item 1 Principal (clause 1.1 of ICT Standing Offer Arrangement – Conditions of Offer):

State of Queensland (acting through) <<insert name of Government department, agency or shared service provider>>

OR

<<insert name of other entity, if not the State of Queensland>>

ABN: <<insert Principal’s ABN>>

Item 2 Closing Date (clauses 1.1, and 8.5 of ICT Standing Offer Arrangement – Conditions of Offer):

<<insert the time and date by which Offers must be received>> (Queensland time)

Item 3 Eligible Customer (clauses 1.1 of ICT Standing Offer Arrangement – Conditions of Offer):

The State of Queensland and all the entities referred to in clause 25 of the ICT Standing Offer Arrangement – Conditions of Offer are Eligible Customers.

Excluded Entities: <<if applicable, insert name (s) of any entities that are excluded from being Eligible Customers, otherwise insert ‘Not Applicable’>>

Item 4 Contact Officer (clause 1.1 of ICT Standing Offer Arrangement – Conditions of Offer):

The Principal’s Contact Officer for the ICT Invitation:

Name: <<insert name of Contact Officer>>Position Title: <<insert position title of Contact Officer>>Agency: <<insert name of Principal>>Email: <<insert email address of Contact Officer>>

Item 5 Confidential Information (clauses 1.1 and 12 of ICT Standing Offer Arrangement – Conditions of Offer):

<<Principal to specify if any parts or information contained within the ICT Invitation are confidential>>

<<If “YES”, specify the areas which will be confidential>>

<<If “NO”, specify “Not Applicable”>>

Item 6 Offer Validity Period (clause 3 of ICT Standing Offer Arrangement – Conditions of Offer)

Offers must remain valid for a minimum period of <<insert number of days>> days after the Closing Date.

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ICT Standing Offer Arrangement – Invitation to Offer

Item 7 Lodgement of Offer (clause 8.1 of ICT Standing Offer Arrangement – Conditions of Offer) [HARD COPY OFFER ONLY]:Offers submitted in response to the ICT Invitation will be accepted by the Principal via Hard Copy:

Yes No

If YES: Offerors are required to submit one original and <<insert number of copies required>> of their Offer.

The following information MUST be identified on the front of the sealed envelope:

<<insert details>>

and addressed to:

<<insert postal address>>

OR

If delivered by hand/courier ONLY:

<<insert physical address>>

<<if applicable, insert packaging requirements>>

If NO: please refer to item 8 or 9 of Section 1, as applicable.

Item 8 Lodgement of Offer (clause 8.2 of ICT Standing Offer Arrangement – Conditions of Offer) [ELECTRONIC OFFER ONLY]:Offers submitted in response to the ICT Invitation will be accepted by the Principal via the Queensland Government e-Tendering website:

Yes No

If YES: Offers must be in the following software package: <<insert software package by which the Response Forms are to be submitted>>. Failure to comply with this requirement may result in a non-conforming Offer.

When downloading the ICT Invitation and/or submitting an Offer, Offerors must use the Queensland Government e-Tendering website: www. tenders.qld.gov.au .

Offerors responding to a public ICT Invitation must log in using their email address and system password, before uploading their Offer.

OR

Offerors responding to a select ICT Invitation must first enter the ICT Invitation access password provided by the Contact Officer then log in using the email address and system password, before uploading their Offer.

If NO: Please refer to item 7 or 9 of Section 1, as applicable.

Item 9 Lodgement of Offer (clause 8.7 of ICT Standing Offer Arrangement – Conditions of Offer) [EMAIL AND/OR FACSIMILE]:Offers submitted in response to the ICT Invitation will be accepted by the Principal via email and/or facsimile, as indicated below:

Yes NoIf YES: Offers are to be emailed to <<insert email address>>, or

Offers are to be faxed to <<insert facsimile number>>.

If NO: Please refer to item 7 or 8 of Section 1, as applicable.

Item 10 Lodgement of Offer (clause 8.8 of ICT Standing Offer Arrangement – Conditions of Offer):

The Principal will return documents to the Offerors who submitted a response to the ICT Invitation:

Yes No

Item 11 Opening of Offers (clause 19 of ICT Standing Offer Arrangement – Conditions of Offer):

Offers will be opened publicly:

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ICT Standing Offer Arrangement – Invitation to Offer

Yes No

If YES: Offers will be publicly opened on the Closing Date at:

<<specify the location where Offerors can attend this opening>>

Item 12 Government Information Technology Contracting (GITC) Version 5 (clause 26 of ICT Standing Offer Arrangement – Conditions of Offer):

The Successful Offeror to the ICT Invitation, prior to entering into a ICT Arrangement with the Principal, must be a current signatory to GITC V5 under the following Modules:

<<insert Module No. and description>><<insert Module No. and description>><<insert Module No. and description>><<insert Module No. and description>>

Item 13 Right to Information and Disclosure (clause 34.7 of ICT Standing Offer Arrangement – Conditions of Offer):

The Principal’s RTI Unit details are as follows:

RTI Co-ordinator: <<insert name of RTI co-ordinator>>Principal: <<insert name of Principal>>Address: <<insert Principal’s postal address>>Email: <<insert RTI co-ordinator’s email address>>

Information regarding Right to Information can be found via www.qld.gov.au/right-to-information. Right to Information applications can be made on-line via http://www.smartservice.qld.gov.au/services/information-requests/home.action

Item 14 Proposed Timeframe:

The anticipated timeframes for the ICT Invitation are:

Release to Market: <<insert date>>Industry briefing <<insert date>>Cut-off for acceptance of information/clarification questions: <<insert date>>Closure of ICT Invitation: <<insert date>>Commence evaluation process: <<insert date>>Post-offer negotiations: <<insert date>>Award ICT Arrangement: <<insert date>>ICT Arrangement commencement date: <<insert date>>ICT Arrangement completion date: <<insert date>>

The Principal reserves the right to alter the above dates throughout the ICT Invitation Process should the need arise.

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ICT Standing Offer Arrangement – Invitation to Offer

SECTION 2 – ICT STANDING OFFER ARRANGEMENT – CONDITIONS OF OFFER2.1 ICT STANDING OFFER ARRANGEMENT – CONDITIONS OF OFFER

2.1.1 The ICT Standing Offer Arrangement - Conditions of Offer Version 003 - dated 1 July 2011 along with any additional ICT standing offer arrangement – conditions of offer as detailed in clause 2.2, will govern the ICT Invitation Process.

2.1.2 The ICT Standing Offer Arrangement – Conditions of Offer Version 003 - dated 1 July 2011 can be located from the Queensland Government Chief Procurement Office website: www.qgcpo.qld.gov.au under ‘Government terms and conditions’ or via emailing the Contact Officer.

2.1.3 The Principal reserves the right to issue amended ICT Standing Offer Arrangement – Conditions of Offer during the Invitation Process.

2.1.4 It is the responsibility of the Offeror to familiarise itself with the contents of the ICT Standing Offer Arrangement – Conditions of Offer and ICT Standing Offer Arrangement Conditions.

2.2 ADDITIONAL ICT STANDING OFFER ARRANGEMENT - CONDITIONS OF OFFER

2.2.1 <<insert any additional ICT Standing Offer Arrangement – Conditions of Offer which are relevant to the ICT Invitation>>

2.2.2 <<insert any additional ICT Standing Offer Arrangement – Conditions of Offer which are relevant to the ICT Invitation>>

2.2.3 <<insert any additional ICT Standing Offer Arrangement – Conditions of Offer which are relevant to the ICT Invitation>>

2.2.4 <<insert any additional ICT Standing Offer Arrangement – Conditions of Offer which are relevant to the ICT Invitation>>

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ICT Standing Offer Arrangement – Invitation to Offer

SECTION 3 – SPECIFICATIONS3.1 PURPOSE

<<Number all paragraphs>>

3.2 OBJECTIVES/SCOPE

<<Number all paragraphs>>

3.3 BACKGROUND

<<Number all paragraphs>>

3.4 REQUIREMENTS

<<Number all paragraphs>>

Version 003 – dated 1 July 2011 7

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ICT Standing Offer Arrangement – Invitation to Offer

SECTION 4 – OFFER EVALUATION PROCESS & CRITERIA4.1 EVALUATION PROCESS

4.1.1 The Offer evaluation process will involve an assessment of Offers received against the criteria listed below. The Principal reserves the right to short-list Offers during the evaluation process using the evaluation criteria contained below. The evaluation process may also involve discussions with Offerors, reference, financial and corporate checks, a demonstration from short-listed Offerors and site visit assessment.

4.2 EVALUATION CRITERIA

4.2.1 Offers received will be evaluated against the following criteria and weightings (if indicated). The weightings ascribed to each criterion will be applied consistently to Offers.

<<insert evaluation criteria>>

<<insert evaluation criteria>>

<<insert evaluation criteria>>

<<insert evaluation criteria>>

4.3 RESPONSE FORMS

4.3.1 The Response Forms as contained within Section 6 have been included to allow Offerors to respond to the ICT Invitation. It is a requirement of the ICT Invitation that each Response Form be completed for each Offer submitted. Responses are limited to a maximum of <<insert no. of pages>> pages per Response Form. Offerors must ensure that the font, questions, numbering and headings of each Response Form are not altered in any way, unless consent has been granted by the Principal. Offerors who fail to comply with any of the above requirements may be considered to have submitted a non-conforming Offer.

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ICT Standing Offer Arrangement – Invitation to Offer

SECTION 5 – ICT STANDING OFFER ARRANGEMENT CONDITIONS5.1 ICT STANDING OFFER ARRANGEMENT CONDITIONS

5.1.1 The terms and conditions in the ICT Standing Offer Arrangement Conditions Version 003 - dated 1 July 2011 along with any additional ICT standing offer arrangement conditions as detailed in clause 5.2, will govern any ICT Arrangement established as a result of the ICT Invitation Process, unless otherwise specified in Schedule 3.

5.1.2 The ICT Standing Offer Arrangement Conditions Version 003 - dated 1 July 2011 can be located from the Queensland Government Chief Procurement Office website: www.qgcpo.qld.gov.au under ‘Government terms and conditions’ or via emailing the Contact Officer.

5.1.3 The Principal reserves the right to issue amended ICT Standing Offer Arrangement Conditions prior to entering into an ICT Arrangement with the Successful Offeror, as and when required.

5.2 ADDITIONAL ICT STANDING OFFER ARRANGEMENT CONDITIONS

5.2.1 <<insert any additional ICT Standing Offer Arrangement Conditions which are relevant to the proposed ICT Arrangement>>

5.2.2 <<insert any additional ICT Standing Offer Arrangement Conditions which are relevant to the proposed ICT Arrangement>>

5.2.3 <<insert any additional ICT Standing Offer Arrangement Conditions which are relevant to the proposed ICT Arrangement>>

5.2.4 <<insert any additional ICT Standing Offer Arrangement Conditions which are relevant to the proposed ICT Arrangement>>

5.3 CONDITIONS OF CUSTOMER CONTRACT5.3.1 The terms and conditions of the ICT Conditions of Contract contained in Division B of the ICT Standing Offer Arrangement

Conditions Version 003 – dated 1 July 2011, along with any additional ICT conditions of contract as detailed in clause 5.4 will govern any Customer Contracts established as a result of the ICT Arrangement, unless otherwise specified in Schedule 3.

5.3.2 The ICT Conditions of Contract within Division B of the ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011 can be located from the Queensland Government Chief Procurement Office website: www.qgcpo.qld.gov.au under ‘Government terms and conditions’ or via emailing the Contact Officer.

5.3.3 The Principal reserves the right to issue amended ICT Conditions of Contract prior to entering into the ICT Arrangement, as and when required.

5.4 ADDITIONAL ICT CONDITIONS OF CUSTOMER CONTRACT5.4.1 <<insert any additional ICT Conditions of Customer Contract which are relevant to a proposed Customer Contract>>

5.4.2 <<insert any additional ICT Conditions of Customer Contract which are relevant to a proposed Customer Contract>>

5.4.3 <<insert any additional ICT Conditions of Customer Contract which are relevant to a proposed Customer Contract>>

5.4.4 <<insert any additional ICT Conditions of Customer Contract which are relevant to a proposed Customer Contract>>

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ICT Standing Offer Arrangement – Invitation to Offer

SECTION 6 – RESPONSE FORMSNOTE TO OFFEROR: The Offeror must complete ALL of the following Response Forms as part of its Offer in accordance with clauses 2.2 and 4.1 of ICT Standing Offer Arrangement - Conditions of Offer.

Response Form 6.1 – Offeror Authorisation and Certification

Information Required Details

Please specify the legal entity type of the Offeror:

Individual Company

Partnership Overseas Incorporated Company

Trust Other – please specify

Please specify the legal name of the Offeror: if Offeror is an individual – specify the full

name (including given names and surname) and address of each individual;

if Offeror is a partnership – specify the full name and address of each partner;

if Offeror is a company – specify the full company name;

if Offeror is a trust – specify either:o the legal name and address of each

trustee authorised to make the Offer on behalf of the trust; or

o the name of the trust.

<<insert legal name of Offeror>>

Offeror’s Australian Company Number (ACN) (if applicable):

ACN: <<insert ACN>>

Offeror’s active Australian Business Number (ABN):

ABN: <<insert ABN>>

ORif no ABN – have you submitted a ‘Statement by a supplier – Reason for not quoting an Australian Business Number (ABN) to an enterprise’ form?

Yes No

Offeror’s registered Business Name (BN) (if applicable):

<<insert registered Business Name>>

Is the Offeror registered for GST? Yes No

State or Territory in which Business / Corporation / Individual is registered:

<<insert State or Territory>>

Name of Holding Company / Corporate Group (if applicable):

<< insert name of Holding Company or Corporate Group>>

Business Profile

As part of the Offer process, each Offeror must include a copy of their Business Profile.

Does your Offer include your Business Profile?

Yes No

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ICT Standing Offer Arrangement – Invitation to Offer

Response Form 6.1 – Offeror Authorisation and Certification (con’t)

Offeror’s Postal Address: <<insert Offeror’s postal address>>

Offeror’s Street Address (registered office address of the Offeror):

<<insert address>>

Contact Name: <<insert name of contact person>>

Contact Phone: <<insert Offeror’s phone number>>

Contact E-mail: <<insert Offeror’s email address>>

Contact Facsimile: <<insert Offeror’s facsimile number>>

Is it proposed to sub-contract any part of the Products and/or Services?

If “YES”, please specify full name and address of each sub-contractor and their relevant experience and expertise in relation to the offered Products and/or Services:

Yes No

<<if “YES”, please specify full name and address of each sub-contractor and their relevant experience and expertise in relation to the offered Products and/or Services>>

Are Notices relating to a potential Customer Contract to be directed to the above Contact Name and details?

If ‘NO”, please insert alternative details:

Yes No

<<if “NO”, please insert alternative details>>

Is there any part of the Offer of concern to the Offeror, if released under the Right to Information Act 2009 (Qld)?

If “YES”, please specify the component of your Offer and which of the following categories it relates to:

Note: This information is being sought for the purposes of applying any relevant exemptions that might be available under the Right to Information Act 2009 (Qld). However, the Principal can give no guarantee to the Offeror that the information will be protected from disclosure under the Right to Information Act 2009 (Qld).

Yes No

<<if “YES”, please specify the component of your Offer>>

Please specify which of the following categories is applicable to the above component:

Trade Secret

Commercial value

Results of research

Confidential nature

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ICT Standing Offer Arrangement – Invitation to Offer

Response Form 6.1 – Offeror Authorisation and Certification (con’t)

Authorisation, Certification and Execution by an Offeror (company)

The Director and Director/Secretary named below certify that in submitting the Offer on behalf of the Offeror:(a) they have read, understood and complied with the requirements of the ICT Invitation;(b) the enclosed Response Forms are a true and accurate account of their Offer; and (c) they have provided details of any proposed Additional Provisions in Response Form 6.3.

Signed for and on behalf of:

<<insert Offeror’s name>>

<<insert Offeror’s ABN>>

<<insert Offeror’s ACN>>

in accordance with s.127 of the Corporations Act 2001 (Cth)this <<insert date>> day of <<insert month>>, <<insert year>>by<<insert full name of Directors>>

<<insert full name of Director/Secretary>>

)))))))))))))

Signature of Director

Signature of Director/Secretary

Where an attorney executes the Offer on behalf of an Offeror, the form of execution must indicate the source of this authority and a certified copy provided to the Principal.OR

Authorisation, Certification and Execution by an Offeror (individual or partnership (*) (+))

I, the Offeror/authorised signatory named below, certify that in submitting the Offer:(a) I have read, understood and complied with the requirements of the ICT Invitation;(b) the enclosed Response Forms are a true and accurate account of my Offer; (c) I have provided details of any proposed Additional Provisions in Response Form 6.3; and(d) I am duly authorised to execute this Offer on behalf of the Offeror.

Signed for and on behalf of:

<<insert Offeror’s name>>

<<insert Offeror’s ABN>>

this <<insert date>> day of <<insert month>>, <<insert year>>by<<insert full name of Offeror/authorised signatory>>

in the presence of<<insert full name of witness>>

))))))))))))

Signature of Offeror/authorised signatory

Signature of witness

Where an attorney executes the Offer on behalf of an Offeror, the form of execution must indicate the source of this authority and a certified copy provided to the Principal.

Privacy Statement - The Principal is collecting Personal Information from the Offeror for the purpose of administering the ICT Invitation Process, ICT Arrangement and any Customer Contract. This Personal Information may be shared with Queensland Government departments or agencies, Queensland Government Bodies, Non-Government Organisations and/or Commonwealth, States or Territories for the purpose of administering the ICT Invitation Process, ICT Arrangement and any Customer Contract or made publicly available in accordance with the requirements of the State Procurement Policy. Personal Information will not be otherwise disclosed to any other third party without consent of the Offeror, except where authorised or required by law.

NOTE TO OFFEROR(*) If an Offeror is an individual or partnership, then the above execution clause will be applicable.

(+) If the Offeror is a partnership, then all partners associated with the partnership must execute the above clause, unless authorisation has been given to an attorney.

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ICT Standing Offer Arrangement – Invitation to Offer

Response Form 6.2 – Proposed Products and/or Services and PricingThe Products and/or Services offered by the Offeror are as follows:

Description Unit Price(Excl. GST)

Price (GST component only)

Total Price(Incl. GST)

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<List any delivery and installation details applicable to the Offer>> $ $

<<List any taxes, duties or other charges and their details associated with each Product and/or Service applicable to the Offer>>

$ $

TOTAL OFFER PRICE $

Privacy Statement - The Principal is collecting Personal Information from the Offeror for the purpose of administering the Invitation Process, Arrangement and any Contract. This Personal Information may be shared with Queensland Government departments or agencies, Queensland Government Bodies, Non-Government Organisations and/or Commonwealth, States or Territories for the purpose of administering the Invitation Process, Arrangement and any Contract or made publicly available in accordance with the requirements of the State Procurement Policy. Personal Information will not be otherwise disclosed to any other third party without consent of the Offeror, except where authorised or required by law.

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ICT Standing Offer Arrangement – Invitation to Offer

Response Form 6.2 – Proposed Products and/or Services and Pricing (con’t)

Other Pricing Issues (clauses 1.1 of the ICT Standing Offer Arrangement Conditions and clause 13 of GITC Part 2):

Description Response

Offerors must specify any conditions that may affect the Pricing offered in their Offer.

<<insert conditions that may affect the pricing offered in the ICT Invitation>>

Offers must specify any Approved Expenses (including details) associated with their Offer.

<<insert any Approved Expenses associated with the Offer>>

Please specify any other Price or cost that may be charged to the Eligible Customer for the supply of the Products and/or Services under the ICT Invitation.

For each price, specify: the nature of the pricing; the circumstances under which it will be incurred;

and total price (including GST).

<<insert details of any other price that may be charged to the Eligible Customer for the supply of the Products and/or Services>>

Specify if the Prices offered are either:

“Firm” - that is the Price does not change for the duration of the Customer Contract, unless the scope of the work changes;

Yes No

OR“Fixed” - that is the Price is firm in time and is subject to fluctuations only in changed economic circumstances (such as movement in exchange rate or consumer price index) and which must be specified in this Response Form.

If “Fixed”, please specify the period from the ICT Arrangement Commencement Date within which, or the date to which, the proposed Pricing will remain firm prior to the application of the variables.

Please specify whether the Pricing at the conclusion of the ‘Fixed’ period is subject to:

OR

Yes No

Period: <<specify period>> OR Date: <<insert date>>

Exchange Rate fluctuations; Yes No If “Yes”, please specify full details in Response Form 6.4 – Schedule 4 - Conditions Relating to Price Variations (Exchange Rate Movements) and also in Response Form - 6.4 – Schedule 5 - Cost Breakdown of Price (if applicable).

Consumer Price Index variations; or Yes No If “Yes”, please specify full details in Response Form 6.4 – Schedule 6 - Conditions Relating to Price Variations (Consumer Price Index [CPI]).

Other factors. Yes No

If “Yes”, please specify full details in Response Form 6.4 – Schedule 7 - Conditions Relating to Price Variations (Other Factors).

Please note any ‘Fixed’ Pricing movements will be in accordance with clause 12 of the ICT Standing Offer Arrangement Conditions.

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Response Form 6.2 – Proposed Products and/or Services and Pricing (con’t)

Discount and Rebate (clause 13 of GITC Part 2)

Offerors are required to provide details of any proposed discount or rebate arrangements. Please complete the following table with sufficient detail, including situations where the discount/rebate offered will not apply.

Description Response

Discounts

Trade discount offered: TRADE: <<insert %>>

Early payment and settlement discount offered: SETTLEMENT: <<insert %>>

DAYS: <<insert number of days>>

Quantity break discounts offered: <<insert details of any quantity break discounts offered>>

Circumstances under which a discount becomes applicable:

<<insert details of circumstances under which a discount becomes applicable>>

How the discount arrangement will operate: <<insert details of how the discount arrangement will operate>>

RebatesRebate offered: <<insert details of any rebate offered>>

Circumstances under which a rebate becomes available: <<insert details of the circumstances under which a rebate becomes available>>

How the rebate arrangement will operate: <<insert details of how the rebate arrangement will operate>>

Payment Method (clause 13 of GITC Part 2)

Description Response

Can payment by corporate credit card be accepted by the Contractor?

[Note: Government departments and agencies primarily use Mastercard as their corporate card/purchasing card but Offerors may need to consider other types of credit cards]

Yes No

Other payment methods acceptable to the Contractor (e.g. cheque, electronic funds transfer, etc).

<<insert other payment methods>>

Restrictions to apply on the above methods of payment. <<insert details of any restrictions that apply on the above methods of payment>>

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.3 –Proposed Additional ProvisionsNOTE TO OFFEROR

The Offeror is required to identify and describe in detail in this Response Form any proposed Additional Provisions to the ICT Invitation or ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011. If no proposed Additional Provisions are specified, and if the Offer is accepted, the terms of the ICT Arrangement will include those specified in the ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au and the Specifications in their entirety.

All proposed Additional Provisions must be listed in the same sequence as they appear in the ICT Invitation.

Parts Clause Number

Proposed Departures/Variations/Additions

Section 3 – Specifications <<insert clause number>>

<<insert details of proposed departures, variations, additions>>

Section 5 – ICT Standing Offer Arrangement Conditions:Division A – ICT Arrangement <<insert clause

number>><<insert details of proposed departures, variations, additions>>

Division B – Conditions of Customer Contract

<<insert clause number>>

<<insert details of proposed departures, variations, additions>>

Section 6 – Response Form 6.4 Schedules of ICT Arrangement

Schedule 1 – ICT Arrangement Details

<<insert clause number>>

<<insert details of proposed departures, variations, additions>>

Schedule 2 – Products and/or Services and Pricing

<<insert clause number>>

<<insert details of proposed departures, variations, additions>>

Schedule A – GITC General Order

<<insert clause number>>

<<insert details of proposed departures, variations, additions>>

Schedule B – GITC Module Order

<<insert clause number>>

<<insert details of proposed departures, variations, additions>>

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.4 – Schedules of ICT Standing Offer ArrangementNOTE TO PRINCIPALThe Principal should complete those items which the Principal is able to specify and shade these items in grey. This will highlight the items which the Offeror will be required to complete as part of their Offer.

NOTE TO OFFEROR

If an ICT Arrangement is awarded to the Offeror as a result of the ICT Invitation Process, Schedules 1, 2 and 3 which are completed and acceptable to the Principal will form part of the ICT Arrangement in accordance with clause 5.2 of the ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au. In the ICT Invitation, the Principal has completed and/or identified those items which it requires for the purposes of an ICT Arrangement. These items are easily identified as they are shaded in grey. The Offeror must therefore complete all other items which are NOT shaded below to assist in the evaluation process.

If the Offeror wishes to amend any items (shaded in grey) as completed by the Principal, these will constitute departures from the ICT Invitation and the Offeror must identify those amendments in Response Form 6.3 – Proposed Additional Provisions.

SCHEDULE 1 – ICT ARRANGEMENT DETAILS

The below Schedules 1, 2 and 3 must be read in conjunction with the Queensland Government’s ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011 located via www.qgcpo.qld.gov.au – under ‘Government terms and conditions’, along with any additional ICT standing offer arrangement conditions as detailed in Schedule 3.

The items in Schedule 1 perform two primary functions. Where the ‘Reference Clause No.’ is

- an ICT Standing Offer Arrangement Conditions clause, the item specifies matters necessary for the operation of the ICT Standing Offer Arrangement Conditions particularly Division A; and

- a GITC Part 2 clause, the item performs the function of a corresponding item in a GITC General Order. The item is deemed to apply to all Customer Contracts entered into under the ICT Arrangement.

No. Reference Clause No.

ICT Arrangement – Reference Clause Title ICT Arrangement Details

1. ICT Arrangement Number No. <<specify the ICT Arrangement Number>>

2. GITC Agreement Number GITC No: <<insert the Contractor’s GITC Agreement No.>>

3. GITC Modules applicable to the ICT Arrangement

Hardware to be further specified in Module 1; Hardware Maintenance Services to be further

specified in Module Order MO2; Licensed Software to be further specified in

Module Order MO3; Software Development & Modification to be

further specified in Module Order MO4; Software Support to be further specified in

Module Order MO5; Packaged Software to be further specified in

Module Order MO6; ICT Personnel Recruitment Services to be

further specified in Module Order MO7; ICT Contracting Services to be further

specified in Module Order MO8; ICT Consultancy Services to be further

specified in Module Order MO9; Managed Services to be further specified in

Module Order MO10; Systems Integration Services to be further

specified in Module Order MO11; Telecommunications Services to be further

specified in Module Order MO12; Internet Services to be further specified in

Module Order MO13; Data Management to be further specified in

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Module Order MO14.

4. 1.1 of ICT SOA Conditions

Principal Name: State of Queensland (acting through <<insert name of Queensland Government department or agency>>)

OR

<<insert name of entity, if not the State of Queensland>>

ABN/ACN: <<insert Principal’s ABN/ACN>>

Address: <<insert Principal’s address>>

5. 1.1 of ICT SOA Conditions

Contractor Name: <<insert full name of Contractor>>

ABN/ACN: <<insert Contractor’s ABN/ACN

Address: <<insert Contractor’s address>>

Telephone: <<insert Contractor’s telephone>>

Facsimile: <<insert Contractor’s facsimile>>

Email: <<insert Contractor’s email>>

Contact Person: <<insert name of the person representing the Contractor for the Arrangement>>

6. 1.1 & 16.1 of ICT SOA Conditions

Customer

The State of Queensland and all of the entities referred to in clause 16.1 are Customers.

Excluded Entities: << insert name/s of any entities that are excluded from being Customers, otherwise insert ‘Not Applicable’>>

7. 1.1 of ICT SOA Conditions

ICT Arrangement Commencement Date <<insert the date on which the ICT Standing Offer Arrangement is to commence>>

8. 1.1 of ICT SOA Conditions

ICT Arrangement Completion Date <<insert the date on which the ICT Standing Offer Arrangement is to conclude>>

9. 1.1 & 6 of ICT SOA Conditions

ICT Arrangement Term Term: <<specify the term of the ICT Standing Offer Arrangement>>

Extension Period: <<specify details, if the Principal has the option to extend the ICT Arrangement>>

10. 1.1 & 8 of ICT SOA Conditions

Principal’s Authorised Officer Name: <<specify the Principal’s Authorised Officer’s name>>

Position: <<specify the Principal’s Authorised Officer’s position title>>

Telephone: <<specify the Principal’s Authorised Officer’s phone no.>>

Facsimile: <<specify the Principal’s Authorised Officer’s facsimile no.>>

Email: <<specify the Principal’s Authorised Officer’s email address>>

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11. 1.1 & 8 of ICT SOA Conditions

Project Manager Name: <<specify the Project Manager’s name>>Position: <<specify the Project Manager’s position

title>>Telephone: <<specify the Project Manager’s phone

no.>>Facsimile: <<specify the Project Manager’s facsimile

no.>>Email: <<specify the Project Manager’s email

address>>

12 9 of ICT SOA Conditions

Minimum Insurance Requirements – Public Liability

Is Public Liability insurance required?

Note: Public liability insurance covers liability for personal injury and property damage. Typically the amount is at least $10 million per claim depending upon the Risk Assessment.

Yes No

Sum Insured: <<insert amount to be insured>>Policy No.: <<insert policy number>>Insurance Provider: <<insert insurance provider>>Named Insured: <<insert name on the policy>>Expiry Date of Policy: <insert expiry date of policy>>

13. 9 of ICT SOA Conditions

Minimum Insurance Requirements - Professional indemnity

Is Professional Indemnity Insurance required?

Note: Professional indemnity insurance covers the consequences of a breach of professional duty and professional negligence. It is only required where relevant (e.g. if you engage an accountant to provide professional accounting services.)

Yes No

Sum Insured: <<insert amount to be insured>>Policy No.: <<insert policy number>>Insurance Provider: <<insert insurance provider>>Named Insured: <<insert name on the policy>>Expiry Date of Policy: <insert expiry date of policy>

Is the Professional Indemnity insurance to be maintained for an alternative period? (i.e. other than four years after the latter of the last Customer Contract Completion Date or termination of the last Customer Contract)

If “YES” then specify the alternative period.

Yes No

Alternative Period: <<insert the alternative period>

Is the Contractor a member of a scheme approved under the Professional Standards Act 2004 (Qld)?

If “YES” please specify and attach a copy of the applicable scheme.

Yes No

14. 9 of ICT SOA Conditions

Minimum Insurance Requirements - Other insurancesIs other insurance required? Yes No

Type of insurance: <<the type of insurance>>Sum Insured: <<insert amount to be insured>>Policy No: <<insert policy number>>Insurance Provider: <<insert insurance provider>>Named Insured: <insert the name on the policy>>Expiry Date of Policy: <<insert the expiry date>>

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15. 1.1 and 10 of ICT SOA Conditions

Performance GuaranteeIs a Performance Guarantee required under the ICT Arrangement?

If “YES” then the Contractor must complete and attach a Performance Guarantee in a form acceptable to the Principal which will be relied upon under the Arrangement for all Customer Contracts.

If “NO”, then state “Not Required”.

Yes No

Date: <<specify the date by which the Performance Guarantee is required>>

Name of Guarantor: <<insert the name of the Guarantor>>

If “YES” a Performance Guarantee is required, does the Contractor have a Performance Guarantee in place with the GITC Contract Authority?o If “YES” then the Principal will rely

upon such Performance Guarantee under the ICT Arrangement for all Customer Contracts.

o If “NO” to above, then the Contractor must complete and attach a Performance Guarantee in a form acceptable to the Principal, which will be relied upon under the ICT Arrangement for all Customer Contracts.

Yes No

16. 1.1 & 11 of ICT SOA Conditions

Financial SecurityIs a Financial Security required under the ICT Arrangement? If “YES” then the Contractor must complete

and attach a Financial Security in a form acceptable to the Principal, which will be relied upon under the Arrangement for all Customer Contracts.

If “NO”, then state “Not Required”

Yes No

Amount: <<specify the maximum aggregate sum required>>

Name of Guarantor:<<specify the name of the Guarantor>

If “YES”:a Financial Security is required under the ICT Arrangement does the Contractor have a Financial Security in place with the GITC Contract Authority? o If “YES” then the Principal will rely

upon such Financial Security under the ICT Arrangement for all Customer Contracts.

Yes NoNo. of Contracts: <<specify the number of current

Customer Contracts relying on this Financial Security>>

Details <<specify details regarding any claims>>

o If “NO”, then the Contractor must complete and attach a Financial Security in a form acceptable to the Principal, which will be relied upon under the ICT Arrangement for all Customer Contracts.

17. 18 of ICT SOA Conditions

ConfidentialityIs the Contractor required to obtain from its officers, employees, agents and sub-contractors an executed deed of confidentiality? If “YES” then the Contractor must complete

and attach a deed of confidentiality in a form acceptable to, or provided by, the Principal, which will be relied upon under the ICT Arrangement for all Customer Contracts.

Yes No

18. 19 of ICT SOA Conditions

Privacy & Personal Information

Is the Contractor required to obtain from its officers, employees, agents and sub-contractors

Yes No

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an executed deed of privacy?

If “YES” then the Contractor must complete and attach a deed of privacy in a form acceptable to, or provided by, the Principal, which will be relied upon under the ICT Arrangement for all Customer Contracts.

19. 1.1 & 22 of ICT SOA Conditions

Delivery Period <<specify the period during which the Products are to be supplied and/or the Services are to be performed>>

20. 23 of ICT SOA Conditions

Performance Review <<specify the performance review criteria (e.g. key performance indicators [KPI]) for the ICT Arrangement>>

<<specify the frequency of the performance review meetings for the ICT Arrangement>>

<<specify the documentation, reports and data required for the ICT Arrangement>>

<<specify the format for the above documentation, reports (including KPI’s) and data>>

21. 29.1(a) of ICT SOA Conditions

Notice Relating to the ICT Arrangement – Principal’s Address for Notices

Address: <<insert Principal’s address for Notices>>

Facsimile No: <<insert Principal’s facsimile no. for Notices>>

Email Address: <<insert Principal’s email address for Notices>>

22. 29.1(b) of ICT SOA Conditions

Notice Relating to the ICT Arrangement – Contractor’s Address for Notices

Address: <<insert Contractor’s address for Notices>>

Facsimile No: <<insert Contractor’s facsimile no. for Notices>>

Email Address: <<insert Contractor’s email address for Notices>>

23. 1.1 of ICT SOA Conditions

Specifications <<Specify the totality of any technical or descriptive specifications of functional, operational, performance or other characteristics relating to the Deliverable and/or System requirements under the ICT Arrangement>>

24. 13 of ICT SOA Conditions

Requirements for Products and/or Services <<specify if the Products are to be other than new/unused condition and of recent origin.>>

25. 1.1 of GITC Part 2

Specified Personnel <<Specify the names and qualifications of any key personnel, including Specified Personnel (if any), who are to be dedicated to the ICT Arrangement and all Customer Contracts>><<Specify any limitations to the above (e.g. John Doe – 5 hours per day)>>

26. 1.1 of GITC Part 2

System <<Specify the operating system intended to meet the Customer’s needs of which the Product will form part of>>

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27. 1.1 of GITC Part 2

Warranty Period (System) <<Specify the Warranty Period of the System (if applicable)>>

28. 3.1 of GITC Part 2

PricingMaximum Price for Deliverable

<<Specify the Price structure for the Deliverables>>

29. 6.1 of GITC Part 2

Intellectual Property Rights in New Contract Material

<<Choose the terms of ownership of the Intellectual Property applicable to the ICT Arrangement>>

Schedule C2 - Intellectual Property Ownership – Model 1 – Option A (Customer – owned - no licence back to Contractor); or

Schedule C2 - Intellectual Property Ownership – Model 1 – Option B (Customer – owned - licence back to Contractor); or

Schedule C2 - Intellectual Property Ownership – Model 2 (Contractor owned – licensed back to the Customer); or

Schedule C2 - Intellectual Property Ownership – Model 3 (Co-ownership – non-consultative co-ownership); or

Some other basis as agreed between the Principal and Contractor – full details must be included in this Schedule 1 regarding ownership of the Intellectual Property.

<<Specify:

the proportions and terms on which the Principal (on behalf of a Customer) and Contractor own the Intellectual Property Rights in New Contract Material, including Updates and New Releases.

the terms and conditions on which the New Contract Material may be exploited by either Party>>

<<specify if Intellectual Property in Existing Contract Material is to be dealt with, in a manner other than as specified in Schedule C2 of GITC Part 2>>

30. 20 of ICT SOA Conditions

Liability

If no amount, “nil” or an indication of $0 is specified, then the liability of Party will be unlimited.

<<Specify the amount of the liability cap (e.g. an amount of $(x) million or (y) times the value of any Customer Contracts established as the result of the ICT Arrangement>>

31. INTENTIONALLY LEFT BLANK

32. 8.1 of GITC Part 2

Customer Supplied Items (CSI)

Are any CSI to be provided to the Contractor by the Customer under the Customer Contract?

If “YES”, please also complete Schedule S1 of GITC Part 4.

Yes No

If “YES” then specify the following:

any costs associated with the CSI that the Contractor will incur; and

any costs associated with preserving, forwarding or disposing of any damaged CSI that the Contractor will incur.

33. 8.4 of GITC Part 2

Site Specification and Preparation <<Specify if the Contractor is to inspect a Site and provide a suitable Site Specification to a Customer>>

<<Specify if the Contractor is responsible for undertaking the Site preparation>>

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34. 9.1 of GITC Part 2

Compliance with Laws, Standards and Codes <<Specify any specific codes, policies, guidelines and/or applicable Standards that the Contractor will and/or must comply with>>

<<Specify any licences or accreditation requirements<>>

35. 9.4 of GITC Part 2

Contractor’s Warranty <<Specify any quality assurance and compliance requirements required during the ICT Arrangement Term by the Contractor>>

<<Specify if alternative requirements are required for the Product>>

36. 10.3 of GITC Part 2

Approved Parties

Are any Approved Parties to be associated with the ICT Arrangement and any Customer Contract?

If “YES”, please provide full details (including their involvement in the ICT Arrangement and Customer Contract) and complete Schedule S9 of GITC Part 4.

Yes No

37. 11.1 of GITC Part 2

Management Committee for the ICT ArrangementIs a management committee to be established under the ICT Arrangement?

Yes No

If “YES” then specify the following:

Date: <<specify date Management Committee is to b established >>

Authorised Representatives: <<insert name/s>>

Principal’s Representative: <<insert name>>

Contractors Representative: <<insert name>>

<<specify the management committee’s other functions>>

38. 11.2 of GITC Part 2

Progress Reporting

Is the Contractor to maintain a Work-in-Progress Diary?

If “YES” please complete Schedule S14 of GITC Part 4

Yes No

39. 11.3 of GITC Part 2

Customer Contract Review Procedures <<Specify any specific time intervals for service and performance reviews under the ICT Arrangement>>

<<Specify any other matters to be reviewed>>

40. 11.7 of GITC Part 2

Escrow of Source CodeIs Escrow required?

If “YES”, specify any costs associated with the escrow agreement and complete and attach Schedule S8 of GITC Part.

Yes No<<Specify any costs associated with the escrow arrangement>>

41. 12.1 of GITC Part 2

Delivery and Installation <<Specify if the Product may, prior to delivery, be substituted by a modified or upgraded version>>

<<Specify if the Contractor is to install the Product and if so, specify the time and manner of installation>>

<<Specify details of any costs associated with the delivery and/or installation (eg if not free into store, if installation is not included in standard price)>>

<<Specify if the Product packaging material is NOT to

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be removed from the Site on or before AAD>>

<<Specify if the Customer is to be responsible for the costs associated with pre-installation testing. Please also include any associated costs>>

<<Specify if the Customer should NOT install the Product upon delivery>>

<<Specify if any warranty is to be affected by the Customer installing or configuring the Product>>

42. 12.2 of GITC Part 2

Title and Risk <<Specify if the transfer of title for each Deliverable is NOT immediately upon the AAD>>

<<Specify when title is transferred>>

43. 12.4 of GITC Part 2

Acceptance Testing

Is Acceptance Testing required for the Deliverable?

If ”YES” specify the Acceptance Test Period; and complete and attach Schedule S11 of GITC Part 4.

Yes No

<<Specify the Acceptance Testing period>>

44. 12.6 of GITC Part 2

Documentation <<Specify any Documentation to be made available by the Contractor to a Customer under the ICT Arrangement>><<Specify the number of additional copies of the Documentation available for purchase by the Customer (if applicable)>><<Specify the Delivery Period which the copies of the Documentation can be delivered to a Customer>><<Specify the costs (if any) in Schedule 2 associated with any additional Documentation>><<Specify the medium in which the Documentation can be provided by the Contractor>>

45. 12.7 of GITC Part 2

Training <<Specify any training the Contractor can provide to a Customer to enable the Customer to: conduct relevant Acceptance Testing (if required)

and/or operate the Deliverable>><<Specify the costs (if any) associated with this training>>

46. 12.9 of GITC Part 2

Retention of Monies <<Specify the portion of the Contract Price (if any) to be retained by a Customer>><<Specify: the period for which the retained portion must be

held; or the Milestones/events at which the retained

portion may be released.>>

47. 13.1 of GITC Part 2

Payment of the Customer Contract under the ICT Arrangement Price

<<Specify the timing of when any payments are due>>

<<Specify the Payment methods permissible: cash; cheque; Queensland Government Corporate Credit Card;

and/or electronic funds transfer.

o if electronic funds transfer, please specify the following:- Bank;- Branch Code No.; and - Account Code>>

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<<Specify any restrictions on the above methods of Payment chosen>>

48. 13.2 of GITC Part 2

Invoices and Time for Payment <<Specify if payment of a Product is due other than midnight on AAD>>

(N.B: not required if a Project, Implementation and Payment Plan – Schedule S2 of GITC Part 4 exists)

<<Specify the date and terms of payment for a Service>>

(N.B: not required if a Project, Implementation and Payment Plan – Schedule S2 of GITC Part 4 exists)

<<Specify the payment period if payment of a Correctly Rendered Invoice is to be other than 30 days>>

<<Specify if any additional invoice details (if applicable), are required by the Customer>>

Privacy Statement - The Principal is collecting Personal Information from the Offeror for the purpose of administering the Invitation Process, ICT Arrangement and any Customer Contract. This Personal Information may be shared with Queensland Government departments or agencies, Queensland Government Bodies, Non-Government Organisations and/or Commonwealth, States or Territories for the purpose of administering the Invitation Process, ICT Arrangement and any Customer Contract or made publicly available in accordance with the requirements of the State Procurement Policy. Personal Information will not be otherwise disclosed to any other third party without consent of the Contractor, except where authorised or required by law.

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.4 – Schedules of Standing Offer Arrangement (con’t)NOTE TO OFFEROR

If an ICT Arrangement is awarded to the Offeror as a result of the ICT Invitation Process, this Schedule 2 will be completed by the Principal in accordance with the Offeror’s Offer or as otherwise negotiated between the Parties and accepted by the Principal, and will form part of the ICT Arrangement in accordance with clause 5.2 of the ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au

SCHEDULE 2 – PRODUCTS AND/OR SERVICES AND PRICINGThe following Products and/or Services and Pricing form part of the ICT Arrangement.

Description Unit Price(Excl. GST)

Price (GST component only)

Total Price(Incl. GST)

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

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<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

<<insert Products and/or Services item description>> $ $ $

Delivery and installation details and charges applicable to the ICT Arrangement $ $

Taxes, duties or other charges and their details associated with the Products and/or Services applicable to the ICT Arrangement

$ $

TOTAL ICT ARRANGEMENT PRICE $

<<specify when and manner in which the Price is payable>>

<<specify time and manner in which the Contractor must submit invoices>>

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Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)NOTE TO OFFEROR

If an ICT Arrangement is awarded to the Offeror as a result of the ICT Invitation Process, this Schedule 3 will be completed by the Principal in accordance with the Offeror’s Offer or as otherwise negotiated between the Parties and accepted by the Principal and will form part of the ICT Arrangement in accordance with clause 5.2 of the ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au

SCHEDULE 3 – ADDITIONAL PROVISIONSThese terms and conditions reflect departures, variations and/or additions to the Specifications and/or ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011 and are deemed to be incorporated into each Customer Contract. These terms and conditions must not be further amended by the Customer and/or Contractor.

The ICT Arrangement includes the following Additional Provisions to the Specifications and/or ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011.

Parts Clause Number

Departures/ Variations/Additions

Specifications <<insert clause number>>

<<insert details of departures, variations, additions>>

ICT Standing Offer Arrangement Conditions:

Division A – ICT Arrangement <<insert clause number>>

<<insert details of departures, variations, additions>>

Division B – ICT Conditions of Customer Contract

<<insert clause <<insert details of departures, variations, additions>>

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number>>

Schedules of ICT Arrangement

Schedule 1 – ICT Arrangement Details

<<insert clause number>>

<<insert details of departures, variations, additions>>

Schedule 2 – Products and/or Services and pricing

<<insert clause number>>

<<insert details of departures, variations, additions>>

Schedule A – GITC General Order

<<insert clause number>>

<<insert details of departures, variations, additions>>

Schedule B – GITC Module Order

<<insert clause number>>

<<insert details of departures, variations, additions>>

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Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)NOTE TO OFFERORIf an ICT Arrangement is awarded to the Offeror as a result of the ICT Invitation Process, Schedule 4, 5, 6 and/or 7, in relation to price variations (if applicable), will be completed by the Principal in accordance with the Offeror’s Offer or as otherwise negotiated between the Parties and accepted by the Principal, and will form part of the ICT Arrangement in accordance with clause 5.2 of the ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au.The below Schedules must be read in conjunction with the Queensland Government’s ICT Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011 located via www.qgcpo.qld.gov.au – under ‘Government terms and conditions’.

SCHEDULE 4 – CONDITIONS RELATING TO PRICE VARIATIONS (EXCHANGE RATE MOVEMENTS)

NOTE TO PRINCIPALPlease delete this response form if not applicable.

Please provide comprehensive details of proposed Price variation (if applicable) and how this will impact on the specified Pricing:

Exchange Rate Movements (clauses 12 and 24 of the ICT Standing Offer Arrangement Conditions)

Where the Products being offered are wholly or partially manufactured overseas any increase or decrease to the Price, to take into consideration movements in the relevant exchange rate or duty will be to the Offeror’s account. The Offeror must provide details of the conditions relating to any proposed Price variation in this Response Form. The Principal may require documentary evidence to support amounts stated in (h) and (i) below:

(a) Brief description of item.

<<insert brief description of item>>

(b) Customs tariff item number.

<<insert tariff item number>>

(c) Rate of duty.

<<insert rate of duty>>

(d) Amount of duty payable.

<<insert amount of duty payable>>

(e) Does the Price offered include this duty?

Yes No

(f) Rate of exchange on which Price offered is based.

<<insert rate of exchange>>

(g) Date at which this rate of exchange applied.

<<insert date>>

(h) The Free on Board (FOB) Price subject to duty, in the applicable foreign currency.

<<insert the Price subject to duty in the applicable foreign currency>>

Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)

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SCHEDULE 4 – CONDITIONS RELATING TO PRICE VARIATIONS (EXCHANGE RATE MOVEMENTS) (con’t)

(i) Total amount of foreign currency upon which Price offered is based, i.e., the Cost Insurance and Freight (CIF) or Cost and Freight (C & F) Price to Australian port.

<<insert details upon which the offered Price is based>>

(j) Can you also offer Products of Australian and/or New Zealand production? (If you can, submit alternative offer for the Australian manufactured Products).

Yes No

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)

SCHEDULE 5 – COST BREAKDOWN OF PRICE

NOTE TO PRINCIPALPlease delete this response form if not applicable.

Where the Offeror seeks a variation in the Price, to take in consideration movements in the relevant exchange rate or duty, the following cost breakdown details must be completed:

Item

No.

Overseas Component Costs (including Duty and Customs Clearance Charges)

(include other Overseas Charges)

Australian

Component Costs

$ c

Total

Offer Price

$ c

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

<<insert item number>>

<<insert overseas component costs>> $ $

N.B. Total of overseas and Australian costs should equal Price specified in Schedule 2.

The Principal may seek further information, including verification of amounts from an Offeror.

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)

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SCHEDULE 6 – CONDITIONS RELATING TO PRICE VARIATIONS (CONSUMER PRICE INDEX [CPI])

NOTE TO PRINCIPALPlease delete this response form if not applicable.

Consumer Price Index (CPI) Variations (clauses 12 and 24 of the ICT Standing Offer Arrangement Conditions)

Where the Products and/or Services being offered may increase or decrease in Price, to take into consideration movements in the Consumer Price Index (CPI), the Offeror must provide details of the conditions relating to any proposed Price variation in this Response Form. Any movements in Price must be based on the Consumer Price Index Brisbane (All Groups), as published by the Australian Bureau of Statistics.

(a) Name of Australian Bureau of Statistics (ABS) Index (e.g. Consumer Price Index, Product Price Index etc.)

<<insert details>>

(b) ABS Index Table Number

<<insert details>>

(c) Name of Index Group, Column Number, etc within the Table

<<insert details>>

(d) Quarter and Year on which Price offered is based.

<<insert details>>

ATTACH ADDITIONAL INFORMATION IF NECESSARY

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)

SCHEDULE 7 – CONDITIONS RELATING TO PRICE VARIATIONS (OTHER FACTORS)

NOTE TO PRINCIPALPlease delete this response form if not applicable.

Other factors (clauses 12 and 24 of the ICT Standing Offer Arrangement Conditions)

Where the Products and/or Services being offered may increase or decrease in Price, to take into consideration other factors (other than movements in exchange rate and duty or consumer price index), the Offeror must provide details of the conditions relating to any proposed price variation in this Response Form.

(a) The factors where a variation in costs to the Offeror will cause a variation in the Price offered (no Price increase under the ICT Arrangement will be accepted by the Principal for any factor not declared in this Response Form).

<<insert details>>

(b) The methodology to be used to determine the amount of variation in the Price offered as a result of a variation in the costs as specified in (a) above.

<<insert details>>

(c) Are Prices bases solely on a published list?

Yes No

(d) If ‘Yes’ to (c) above, please state percentage discount offered off that Price list and attach copy of that Price list. Percentage discount offered must remain the minimum in any variation.

<<insert percentage discount offered>>

ATTACH ADDITIONAL INFORMATION IF NECESSARY

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

Response Form 6.4 – Schedules of ICT Standing Offer Arrangement (con’t)NOTE TO PRINCIPAL

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The Principal must complete those items which the Principal is able to specify and shade these items in grey. This will highlight the items which the Offeror will be required to complete as part of their Offer. This is the template order so details about specific orders will not be known at this stage of the ICT Invitation Process.

NOTE TO OFFERORIf an ICT Arrangement is established as a result of the ICT Invitation Process and a Customer Contract is created, Schedule A – General Order and relevant Module Orders, completed and acceptable to the Customer, will form part of the Customer Contract in accordance with clause 5.2 of the ICT Standing Offer Arrangement Conditions Version 003 - dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au. In the ICT Invitation, the Principal has completed and/or identified those items which it requires for the purposes of an ICT Arrangement and any Customer Contract. These items are easily identified as they are shaded in grey. The Offeror must therefore complete all other items which are NOT shaded below, other than those items that will relate to specific orders which will be lodged in the future, to assist in the evaluation process.If the Offeror wishes to amend any items (shaded in grey) as completed by the Principal, these will constitute departures from the ICT Invitation and the Offeror must identify those amendments in Response Form 6.3 – Proposed Additional Provisions.

SCHEDULE A – GITC GENERAL ORDER

The below Schedule A must be read in conjunction with the Queensland Government’s Standing Offer Arrangement Conditions Version 003 – dated 1 July 2011 located via www.qgcpo.qld.gov.au – under ‘Government terms and conditions’, along with any additional ICT standing offer arrangement conditions as detailed in Schedule 3 – Additional Provisions.

Schedule A performs the function of a template General Order for each Customer Contract entered into under the ICT Arrangement. However, many of the items that would appear in a standard GITC General Order will be specified in Schedule 1 above and those items are deemed to apply to all Customer Contracts entered into under the ICT Arrangement.

No. Reference Clause No.

GITC Reference Clause Number and Title Customer Contract Details

1 ICT Arrangement Number No. <<specify the ICT Arrangement number>>

2 Contractor’s GITC Agreement No Q- <<insert Contractor’s GITC Agreement Number>>

3 1.1 of GITC Part 2

Customer Name: State of Queensland (acting through <<insert name of Queensland Government department or agency>>)

OR

<<insert name of entity, if not the State of Queensland>>

ABN/ACN: <<insert Customer’s ABN/ACN>>

Address: <<insert Customer’s address>>

4 Customer’s Project Manager Name: <<insert name of Customer’s contact officer>>

Address: <<insert address>>Telephone: <<insert telephone number>>Facsimile: <<insert facsimile number>>

Email: <<insert email address>>

5 Officer Receiving the Invoice Name: <<insert name of Customer’s contact officer>>

Department: <<insert name of agency>>Address: <<insert contact officer’s address>>Telephone: <<insert telephone number>>Facsimile: <<insert facsimile number>>

Email: <<insert email address>>

6 1.1 of GITC Part 2

Contractor Name: <<insert full name of the Contractor>>ABN/ACN: <<insert Contractor’s ABN/ACN>>Address: <<insert Contractor’s address>>

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Telephone: <<insert Contractor’s telephone no.>>Facsimile: <<insert Contractor’s facsimile>>Email: <<insert Contractor’s email address>>

Contact Person: <<insert the name of the Contractor’s contact person for the Contract>>

7 Delivery Address <<specify the Delivery address of where the Deliverables are to be delivered>>

8 1.1 of GITC Part 2

Business Day <<specify timing and days if outside normal Business Day, as defined in GITC Part 2>>

9 1.1 of GITC Part 2

Contract Period

Note:. Any Warranty Periods MUST be incorporated into the Contract Period for the total Customer Contract.

The Contract Period for the Customer Contract is: <<insert commencement date>>; and <<insert conclusion date]>>

and needs to incorporate any Warranty Periods:

<<insert details of any Warranty Periods>>

10 1.1 of GITC Part 2

Contract Price Refer to Schedule B.

11 1.1 of GITC Part 2

Contract Specifications <<specify the totality of any technical or descriptive specifications of functional, operational, performance or other characteristics relating to the Deliverable and/or System requirements>>

12 1.1 of GITC Part 2

Deliverable <<specify the Products and/or Services to be supplied under the Customer Contract>>

13 1.1 of GITC Part 2

Site <<specify the locations where the Deliverable is to be delivered and/or installed (as applicable)>>

14 1.1 of GITC Part 2

Specified Personnel <<specify the key personnel, including Specified Personnel (if any), who are to be dedicated to the Customer Contract, as specified in item 25 of Schedule 1>>

<<specify any exemptions to the above (e.g. John Doe – 5 hours per day)>>

15 1.1 of GITC Part 2

System <<specify the operating system intended to meet the Customer’s needs of which the Product will form a part (if applicable)>>

16 1.3 of GITC Part 2

Time of the EssenceIs time to be of the essence in relation to the Contractor’s general obligations under a Customer Contract?

If “YES”, please provide details of the general obligations for which time is of the essence

If “YES” please specify any Milestones for which time is NOT of the essence.

Yes No

Details: <<specify the milestones where time is of the essence>>

Details: <<if applicable, specify any Milestones for which time is NOT of the essence>>

17 5.4 of GITC Part 2

Confidentiality[Specify if limited disclosure of information regarding the Customer Contract is permitted by the Contractor or its Approved Parties]

[Specify the terms and conditions relevant to this disclosure]

[Specify if disclosure of the Contractor’s

Yes No

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Confidential Information is permitted by the Customer]

[Specify the terms and conditions relevant to this disclosure]

[Specify if limited disclosure of the Customer’s Confidential Information is permitted by the Contractor or its Approved Parties]o if “YES”, please complete Schedule S6 of

GITC Part 4.

[Specify the terms and conditions of this disclosure]

[Specify any specific Customers who are not entitled to obtain Confidential Information in relation to the Contractor]

18 5.5 of GITC Part 2

Privacy and Disclosure of Personal Information

Is a Deed of Privacy required?

If “YES” please complete Schedule S10 of GITC Part 4

Yes No

19 5.6 of GITC Part 2

Secrecy and Security <<specify any secrecy or security requirements of the Customer that the Contractor is to comply with during the Customer Contract>

20 7.1 of GITC Part 2

Liability (a) Specify those liabilities that are not to be excluded as indirect or consequential loss.

(b) Specify if liability is to be capped.If “NO”, then liability remains uncapped for both Parties.If “YES”:(i) Specify whether the liability is to be

capped:o per occurrence; oro in the aggregate for all

occurrences including over what period (eg. refreshed annually, etc).

(ii) the amount of the liability cap (eg. an amount of $(x) million or (y) times the value of the Customer Contract).

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21 7.2 of GITC Part 2

Indemnity (a) Specify if indemnity is to be capped.If “NO”, then indemnity remains uncapped for both Parties.If “YES”:(i) Specify whether the Indemnity is to be

capped:o per occurrence; oro in the aggregate for all

occurrences including over what period (eg. refreshed annually, etc).

(ii) the amount of the indemnity cap (eg. an amount of $(x) million or (y) times the value of the Customer Contract).

22 8.1 of GITC Part 2

Customer Supplied Items (CSI)

Are any CSI to be provided to the Contractor by the Customer under the Customer Contract, as specified in item 34 of Schedule 1?

If “YES”, please complete Schedule S1 of GITC Part 4 and specify any costs associated with the CSI that the Contractor will incur.

Yes No

<<specify any costs associated with the CSI that the Contractor will incur>

<<specify any costs associated with preserving, forwarding or disposing of any damaged CSI that the Contractor will incur>>

23 8.2 of GITC Part 2

Customer’s Data and Processing Environment

<<specify the Customer’s processing environment relevant to the Deliverables under the Customer Contract>>

<<specify if the Contractor is to provide any assistance or training relating to:

installation; or use of a Product or operation of System

equipment>>

<<specify any costs associated with any assistance or training in relation to the processing environment that the Customer will incur>>

24 8.3 of GITC Part 2

Customer’s PersonnelAre any of the Customer’s Personnel involved with the Customer Contract?

If applicable, specify the Customer’s Personnel involved with the Customer Contract and complete Schedule S1 of GITC Part 4. <<insert names of Customer’s Personnel>>

25 10.3 of GITC Part 2

Approved Parties

Are any Approved Parties to be associated with the Customer Contract, as chosen by the Customer from those specified in item 38 of Schedule 1?

If “YES”, please provide full details (including their involvement in the Customer Contract) and complete Schedule S9 of GITC Part 4.

Yes No

26 11.4 of GITC Part

Project, Implementation and Payment Plan

Is a Project, Implementation and Payment Plan Yes No

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2 applicable to the Customer Contract?

If “YES”, please complete Schedule S2 of GITC Part 4.

27 11.5 of GITC Part 2

Staged Implementation

Does Stage Implementation apply to the Customer Contract?

If “YES” please specify within the PIPP (Schedule S2 of GITC Part 4) details relating to the timing of notification required by the Customer to the Contractor to commence work on the following Stages of the Deliverable.

Yes No

28 11.6 of GITC Part 2

Liquidated Damages

Are Liquidated Damages applicable to the Customer Contract?

Yes No

<<If “YES”, please specify the: Stage to be covered to which the Liquidated

Damages apply (eg. Milestone, Stage, etc); amount payable by the Contractor to the

Customer for a delivery in performing a Stage; method for the calculating the Liquidated

Damages; and the period of days, if other than 90 days, from

which Liquidated Damages are to apply.>>

29 12.1 of GITC Part 2

Delivery and Installation <<specify the time for delivery of the Product>>

<<if the Contractor is to install the Product (refer item 44 of Schedule 1), specify the time and manner of installation>>

30 12.6 of GITC Part 2

Documentation <<specify any Documentation to be made available by the Contractor to the Customer under the ICT Arrangement, as specified in item 48 of Schedule 1>>

<<specify the number of additional copies of the Documentation being purchased by the Customer (if applicable)>>

<<specify the Delivery Period which the copies of the Documentation are to be delivered to the Customer>>

<<specify the costs (if any) in Schedule 2 associated with the additional Documentation>>

<<specify the medium in which the Documentation will be provided by the Contractor>>

31 12.7 of GITC Part 2

Training <<specify the training to be provided by the Contractor to the Customer to enable the Customer to: conduct relevant Acceptance Testing (if

required) and/or operate the Deliverable, as specified in item 49 of Schedule 1;>>

<<specify the costs (if any) associated with this training>>

32 13.4 of GITC Part 2

Credit/Debt Card or Electronic Facility <<specify any credit/debt card or electronic facilities that the Customer may use to pay the Customer Contract>>

33 17.8 of GITC Part

Notice Relating to the Customer Contract – Customer’s address for Notices

Address: <<insert Customer’s address for Notices>>

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2 Facsimile No: <<insert Customer’s facsimile no. for Notices>>

Email Address: <<insert Customer’s email address for Notices>>

34 17.8 of GITC Part 2

Notice Relating to the Customer Contract – Contractor’s Address for Notices

Address: <<insert Contractor’s address for Notices>>

Facsimile No: <<insert Contractor’s facsimile no. for Notices>>

Email Address: <<insert Contractor’ email address for Notices>>

Privacy Statement - The Principal is collecting Personal Information from the Offeror for the purpose of administering the ICT Invitation Process, ICT Arrangement and any Customer Contract. This Personal Information may be shared with Queensland Government departments or agencies, Queensland Government Bodies, Non-Government Organisations and/or Commonwealth, States or Territories for the purpose of administering the ICT Invitation Process, ICT Arrangement and any Customer Contract, or made publicly available in accordance with the requirements of the State Procurement Policy. Personal Information will not otherwise be disclosed to any other third party without consent of the Contractor, except where authorised or required by law.

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.4 - Schedules of ICT Standing Offer Arrangement (con’t)

NOTE TO PRINCIPALThe Principal must insert the relevant GITC V5 Module Orders applicable to the ICT Invitation Process. The Principal must also complete those items which the Principal is able to specify and shade these items in grey. This will highlight the items which the Offeror will be required to complete as part of their Offer. This is a template order so details about specific general orders will not be known at this stage of the ICT Invitation Process.

NOTE TO OFFERORIf an ICT Arrangement is established as a result of the ICT Invitation Process and a Customer Contract is created, a completed Schedule A - General Order and relevant completed Module Orders which are acceptable to the Customer will form part of the Customer Contract in accordance with clause 5.2 of the ICT Standing Offer Arrangement Conditions Version 003 - dated 1 July 2011, which is located via: www.qgcpo.qld.gov.au . In the ICT Invitation, the Principal has completed and/or identified those items which it requires for the purposes of an ICT Arrangement and any Customer Contract. These items are easily identified as they are shaded in grey. The Offeror must therefore complete all other items which are NOT shaded below, other than those that will relate to specific General Orders which may be lodged in the future, to assist in the evaluation process.If the Offeror wishes to amend any items (shaded in grey) as completed by the Principal, these will constitute departures from the ICT Invitation and the Offeror must identify those amendments in Response Form 6.3 – Proposed Additional Provisions.

SCHEDULE B – GITC – MODULE ORDERSThe following Module Orders will be applicable to any Customer Contracts established as a result of the ICT Arrangement:

<<insert Module Order Number and Title>>

<<insert Module Order Number and Title>>

<<insert Module Order Number and Title>>

<<insert Module Order Number and Title>>

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Response Form 6.5 – GITC Requirements

In this Response Form Offerors are required to indicate their compliance with the requirement to be a signatory to GITC V5.

Prime Contractor

Requirement Response

What is your company’s GITC agreement number and review date?

GITC Number:

Review Date:

Is your company a signatory to GITC Version 5? Yes No

If currently a signatory to GITC Version 5:What Modules are your company currently a signatory to?

Yes No

If not currently a signatory to GITC Version 5:Is your company prepared to become a GITC V 5 signatory prior to the execution of the ICT Arrangement?

Yes No

Is your company acting as the Prime Contractor of a Consortium?

Yes No

(If no, you don’t have to complete any more questions in the table)

Consortium Member (1) (if applicable)

Requirement Response

What is the name, GITC Agreement Number and review date of your Consortium member?

Name:

GITC Number:

Review Date:

Is the Consortium member a signatory to GITC Version 5? Yes No

If currently a signatory to GITC Version 5:What Modules are the Consortium member’s company currently a signatory to?

If a Consortium member is not currently a signatory, is the member prepared to become a GITC V 5 signatory prior to the execution of the ICT Standing Offer Arrangement?

Yes No

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

Response Form 6.5 – GITC Requirements (con’t)

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NOTE TO OFFERORIf there is more than three (3) Consortium Members, please duplicate the below box for each member

Consortium Member (2) (if applicable)

Requirement Response

What is the name, GITC Agreement Number and review date of your Consortium member?

Name:

GITC Number:

Review Date:

Is the Consortium member a signatory to GITC Version 5? Yes No

If currently a signatory to GITC Version 5:What Modules are the Consortium member’s company currently a signatory to?

If a Consortium member is not currently a signatory, is the member prepared to become a GITC V 5 signatory prior to the execution of the ICT Standing Offer Arrangement?

Yes No

Consortium Member (3) (if applicable)

Requirement Response

What is the name, GITC Agreement Number and review date of your Consortium member?

Name:

GITC Number:

Review Date:

Is the Consortium member a signatory to GITC Version 5? Yes No

If currently a signatory to GITC Version 5:What Modules are the Consortium member’s company currently a signatory to?

If a Consortium member is not currently a signatory, is the member prepared to become a GITC V 5 signatory prior to the execution of the ICT Standing Offer Arrangement?

Yes No

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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1. Response Form 6.6 – Existing Arrangements with Queensland Government or other EntitiesNOTE TO OFFEROR

This Response Form is to capture information regarding the Offeror’s association with the Queensland Government departments or agencies, Queensland Government Bodies or Non-Government Organisations, which may be shared across other Queensland Government departments or agencies:

Does the Offeror have any current supply arrangements with any Queensland Government departments or agencies, Queensland Government Bodies or Non-Government Organisations?

Yes NoIf “YES”, to the above, please provide the following details:

No. Description Details

1. <<insert the title of supply arrangement>>

Description of Products and/or Services covered under the supply arrangement:

<<insert description of Products and/or Services covered under the supply arrangement>>

Name of the Queensland Government departments or agencies, Queensland Government Bodies or Non-Government Organisations who is managing the supply arrangement:

<<insert the name of the Queensland Government department or agency, Queensland Government body or Non-Government Organisation>>

Term of supply arrangement: Term: <<insert the term of the supply arrangement>>Commencement date: <<insert date>>Completion date: <<insert date>>

Estimated annual value of supply arrangement: $ <<insert value of supply arrangement>>

2. <<insert the title of supply arrangement>>

Description of Products and/or Services covered under the supply arrangement:

<<insert description of Products and/or Services covered under the supply arrangement>>

Name of the Queensland Government department or agency; Queensland Government Body or Non-Government Organisation who is managing the supply arrangement:

<<insert the name of the Queensland Government department or agency, Queensland Government body or Non-Government Organisation>>

Term of supply arrangement: Term: <<insert the term of the supply arrangement>>Commencement date: <<insert date>>Completion date: <<insert date>>

Estimated annual value of supply arrangement: $<<insert value of supply arrangement>>

3. <<insert the title of supply arrangement>>

Description of Products and/or Services covered under the supply arrangement:

<<insert description of Products and/or Services covered under the supply arrangement>>

Name of the Queensland Government department or agency; Queensland Government Body or Non-Government Organisation who is managing the supply arrangement:

<<insert the name of the Queensland Government department or agency, Queensland Government body or Non-Government Organisation>>

Term of supply arrangement: Term: <<insert the term of the supply arrangement>>Commencement date: <<insert date>>Completion date: <<insert date>>

Estimated annual value of supply arrangement: $<<insert value of supply arrangement>>

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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Response Form 6.7 – Declaration of Interest and Possible InfluencesNOTE TO PRINCIPAL

Please delete this Response Form if not applicable.

In submitting an Offer in response to the ICT Invitation, the Offeror warrants that to the best of its knowledge and belief and subject to any disclosures detailed below:

(a) no family, business or pecuniary relationships exist between the Parties to the ICT Invitation Process that would adversely impact on the ICT Invitation or any ICT Arrangement and/or Customer Contract arising as a result of the Invitation Process;

(b) neither the Offeror nor its officers or employees have:

(i) engaged in any unethical behaviour or sought and/or obtained an unfair advantage; or

(ii) received or will receive any pecuniary or in-kind advantage from any other Offeror, in relation to the ICT Invitation Process;

(c) no officer, employee, contractor or family member associated with the Offeror is or has been engaged by the Principal or Customer in a position or role that in any way relates back to the Offer;

(d) no officer, employee, contractor or family member associated with the Principal has been offered any benefit or inducement associated with the Offer, including any offer relating to employment; and

(e) other than specified below, neither the Offeror nor any of its officers or employees have or are likely to have any Conflict of Interest.

The Offeror further undertakes to notify the Principal via the Contact Officer in writing immediately if any warranty contained in this Response Form 6.7 becomes incorrect.

The following information is disclosed for the purposes of this Response Form. Offerors must supply details of any possible Conflict of Interest that exists or may arise in relation to the making and/or acceptance of their Offer.

If there is nothing to declare, Offerors must insert “Nil”.

<< insert details, if applicable>>

<< insert details, if applicable>>

<<insert details, if applicable>>

Privacy Statement - The Principal is collecting Personal Information from the Offeror for the purpose of administering the ICT Invitation Process, ICT Arrangement and any Customer Contract. This Personal Information may be shared with Queensland Government departments or agencies, Queensland Government Bodies, Non-Government Organisations and/or Commonwealth, States or Territories for the purpose of administering the ICT Invitation Process, ICT Arrangement and any Customer Contract, or made publicly available in accordance with the requirements of the State Procurement Policy. Personal Information will not otherwise be disclosed to any other third party without consent of the Contractor, except where authorised or required by law.

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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ICT Standing Offer Arrangement – Invitation to Offer

Response Form 6.8 – Statement of Competitive NeutralityNOTE TO PRINCIPAL

Please delete this Response Form if not applicable.

Government owned entities seeking to supply to the Queensland Government are required to indicate whether their Offer for the provision of Products and/or Services complies with the competitive neutrality principles of the Offeror’s jurisdiction.

If Statement of Competitive Neutrality is applicable in some or all areas please select “Compliant” or alternatively if this is not applicable please select “Not Applicable”.

To be completed by Government owned entities external to Queensland

For government owned entities outside Queensland, including local government and Commonwealth, State or Territory government, the Offer has been priced to comply with the competitive neutrality principles of the government of the Offeror’s jurisdiction.

Compliant OR Not Applicable

To be completed by Queensland Government owned entities

For Queensland Government Bodies, the Offer has been priced to comply with the Queensland Government’s policy statement on the application of competitive neutrality to government business activities, “Competitive neutrality, and Queensland Government Business Activities” located at www.treasury.qld.gov.au.

Compliant OR Not Applicable

To be completed by Queensland Local Government entities

The Offer has been priced to comply with the competitive neutrality policy arrangements established by the Queensland Government.

Compliant OR Not Applicable

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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ICT Standing Offer Arrangement – Invitation to Offer

Response Form 6.9 – Check-ListNOTE TO OFFEROR

The checklist is provided to assist Offerors submitting a conforming Offer. The list is not exhaustive and should not be relied upon as the sole quality check. Prior to submitting an Offer, Offerors should use the following checklist to ensure that all key information has been complied:

Check List Questions Have you met this requirement:

1 Have you read and understood the ICT Standing Offer Arrangement - Conditions of Offer Version 003 - dated 1 July 2011, as referenced in Section 2 of the Invitation?

Yes No

2 Have you read and understood the ICT Standing Offer Arrangement Conditions Version 003 - dated 1 July 2011, (Division A) as referenced in Section 5 of the ICT Invitation?

Yes No

3 Have you read and understood the ICT Conditions of Contract contained within the Standing Offer Arrangement Conditions Version 003 dated 1 July 2011 (Division B) requirements as specified in Section 5 of the ICT Invitation?

Yes No

4 Are you submitting your Offer in accordance with Section 1 of the ICT Invitation?

Yes No

5 Have you signed your Offer on the “Offer Authorisation and Certification” page of Response Form 6.1?

Yes No

6 Have you answered all questions and responded to all requirements specified in the Response Forms?

Yes No

7 Have you entered the name of your organisation making the Offer in the footer of each Response Form (as requested)?

Yes No

8 Have you checked all other lodgement requirements of the ICT Invitation to ensure your Offer is prepared and addressed correctly? (Refer to Section 1 and Section 2 of the ICT Invitation)?

Yes No

If your answer to any of the above questions is "NO", your Offer may be considered non-conforming, in accordance with clause 9 of the ICT Standing Offer Arrangement - Conditions of Offer Version 003 - dated 1 July 2011 which is located via: www.qgcpo.qld.gov.au

Offeror’s Name: <<insert Offeror’s name>>

Date: <<insert date>>

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