[insert your organisation name and logo or branding]

Request for Proposals (RFP)
Signage contract
Part 2 – Response Form

RFP released: Friday 19th April 2024 NZST
Deadline for Questions: 5pm Monday 29th April 2024 NZST
Deadline for Proposals: 11:30am Friday 17th May 2024 NZST

Greater Wellington Regional Council
100 Cuba Street
Wellington

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Contents
SECTION 1: ABOUT THE RESPONDENT ................................................................ 3
SECTION 2: SOLUTION OVERVIEW ...................................................................... 4
SECTION 3: RESPONSE TO NON-PRICE REQUIREMENTS ...................................... 6
SECTION 4: PRICE ............................................................................................. 15
SECTION 5: PROPOSED CONTRACT ................................................................... 16
SECTION 6: OUR DECLARATION ........................................................................ 17

Check list for Respondent to complete for their own benefit:
1  Al  sections in this Part 2 Response Form have been completed
Yes / No
2  Al  sections in the Part 3 Pricing Template have been completed
Yes / No
3  You have signed the supplier declaration
Yes / No
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SECTION 1: About the Respondent
•  The section gives the Buyer basic information about your organisation and identifies
your Point of Contact for the duration of the RFP process.

•  If an item is not applicable e.g. you do not have a registered office complete the box
Supplier
by stating ‘not applicable’.
tips
•  If you are submitting a joint or consortium Proposal complete an ‘Our profile’ table for
each Respondent. Cut and paste the table as appropriate. Provide only one Point of
Contact for your joint/consortium Proposal.
Our Organisation
Choose one of these statements to complete, and delete the others
This is a Proposal by [insert name] (the Respondent) alone to supply the Requirements. OR
This is a [joint/consortium] Proposal, by [insert the name of your organisation] and [insert the name of
the other organisation/s] (together the Respondents) to supply the Requirements.
Name
Detail
Trading name:
[insert the name that you do business under]
Legal name (if different):
[if applicable]
Physical address:
[if more than one office – put the address of your head office]
Postal address:
[e.g. P.O Box address]
Registered office:
[if you have a registered office insert the address here]
Business website:
[url address]
Type of entity (legal
[sole trader / partnership / limited liability co / other please specify]
status):
Registration number:
[if your organisation has a registration number insert it here e.g.
company registration number]
Country of residence:
[insert country where you (if you are a sole trader) or your organisation
is resident for tax purposes]
GST registration number:
[NZ GST number / if overseas please state]
Our Point of Contact
Item
Detail
Contact person:
[name of the person responsible for communicating with the Buyer]
Position:
[job title or position]
Mobile number:
[mobile]
Email address:
[work email]
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SECTION 2: Solution overview
•  In this section you are asked to provide your response to our Requirements (Part 1
Section 2) by demonstrating your organisation’s ability to meet our criteria (Part 1

Section 3: Our Evaluation Approach). Carefully read Part 1  Sections 2 and 3 before
Supplier
completing this part.
tips
•  If there is anything that you do not understand ask our Point of Contact to clarify.
•  If any information you provide is commercially sensitive to your business, you must let
the Buyer know. Please mark the information ‘commercially sensitive’ or ‘Confidential
Information’. It is not acceptable to render this whole document confidential unless this
is truly the case. The Buyer has a duty to protect Confidential Information, subject to
the exceptions in the RFP-Terms (Section 6).
•  If some of an answer is in another document e.g., a marketing brochure, copy and paste
the relevant extract into this Proposal. Do not submit the whole brochure. Please do not
include any advertising brochures or similar material in your Proposal.
Section 2.1 Pre-conditions
•  You must be able to answer ‘yes’ to each of the pre-conditions. Make sure you are able
to verify that this is the case, if asked.
  •  ‘Yes’, means that you can currently meet the pre-condition. It does not mean that you
Supplier
are planning to, or intend to at some time in the future.
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•  If you cannot answer ‘yes’ to all, your Proposal will not meet the basic Requirements
and wil  be declined.

Precondition / Question to produce evidence
Pass/Fail
PC1
You, the Respondent, confirm that you are:
a)  EITHER an accredited Avery Dennison Partner OR 3M Select
Partner
b)  AND is listed as a New Zealand Avery Dennison or 3M Partner in
one of the website links below.
3M Partner Programme
Note that a 3M Partner is defined in the link above as ‘Our national
YES/NO
network of 3M Select Partners are authorised 3M partners who can
help you create and execute your graphics, architectural and window
films solutions. All partners must pass 3M's thorough auditing
process to achieve this elite status and are recognised by 3M as
leaders in the graphics signage, architectural finishes and window
film industries.’
Avery Dennison Partner Programme
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Note that An Avery Dennison Partner is defined in the link above as
‘…an expert team of qualified, and certified, Avery Dennison
Partners. These companies are the best-of-the-best when it comes to
working with, applying and consistently delivering high-quality
graphic finishes using Avery Dennison materials.’
You must include supporting certifications and evidence of your official
Partner status in your Proposal (see RFP questions R-09 and R-10).
PC2
You, the Respondent, confirm that al  employees, contractors and
subcontracts who will be involved in delivering this contract will receive no
less than the Living Wage Rate as set by Living Wage Aotearoa and updated
annual y on 1 September1.
YES/NO
The current Living Wage is NZ$26.00/hour and from 1st September 2024, will
increase to NZ$27.80/hour.

PC3
Public Liability Insurance (minimum cover of NZ$20m))
YES/NO

Section 2.2 Business and solution overview
We are interested in understanding a little more about your business, size, structure, ethos, and why
you believe you are best suited to delivering this contract.
Maximum of two pages.
Note: The information you provide here will not be weighted but may be considered when considering
overall value for money for the whole life of the contract.
Your response here

Please provide an overview of your proposed solution.
Maximum of two pages.
Note: The information you provide here will not be weighted but may be considered when considering
overall value for money for the whole life of the contract.
Your response here

1 Living Wage Aotearoa website https://www.livingwage.org.nz/
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SECTION 3: Response to non-price
requirements
Section 3.1 Response to requirements

•  Here you are asked to answer questions relating to the evaluation criteria (written).
Your Proposal will be scored against your answers to these criteria. Aim to give

answers that are relevant, concise, and comprehensive.
Supplier  •  Consider the % weighting for each criterion. The higher the weighting the more
tips
important it is. Take the weightings into account in deciding how much detail to
include.
•  If you have made any assumption about the Requirements or delivery, clearly state
the assumption.

3.3.1 Relevant experience and track record
We seek relevant, current evidence and case studies that demonstrate your ability to meet our needs
#
Requirement
R-01
ORGANISATIONAL PROFILE
Describe your organisation’s size, structure, number of staff, location, and annual turnover.
Explain why this is sufficient to successfully deliver the outcomes described in this RFP.
[Insert response here]
R-02
SIGNAGE REFERENCE SITES
Provide three examples of recent or current contracts delivering and managing signage (as
defined in the scope of this RFP) or similar. References in the last three years and New
Zealand public sector sites are preferred. For each site, please list:
•  contract and client (including contact details for reference purposes)
•  contract value
•  location and dates you provided the services
•  scope of services
For each one, include referee details in your answer below. Let us know if you wish to be
contacted before we contact your named referees.
[Insert response here]
R-03
COLLABORATION LESSONS LEARNED
We are interested in learning from your experience working with other clients.
What lessons should we be aware of and how can GW make sure we don’t repeat the same
mistakes?
[Insert response here]
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3.3.2 Relevant skills and capability
We seek evidence that showcases your team’s ability to deliver and support the required services
#
Requirement
R-04
  LOCAL PRESENCE
Due to the hands-on approach of the day-to-day operations and unique environment, we
require a supplier that has a local presence in the Wellington Region.
If you do not have a local presence, how does your proposal deliver day to day operations
including dealing with urgent work at short notice?
[Insert response here]
R-05
  YOUR TEAM
Using a one-page CV for each, identify the individuals who will be assigned to the GW
account if you are the chosen supplier. Include relevant qualifications and relevant
signage experience (including any biographies) and detail their commitment to the
contract and expected working hours per month. We also need to know where each of
your team members are geographically located.
Please include an organisation chart in your response to this section, to show how your
team, including sub-contractors and suppliers, fits together and will work with GW's team.
[Insert response here]
R-06
  SUBCONTRACTORS’ KEY PERSONNEL
If you are including subcontractors within your Proposal, we want to understand each
subcontractor’s technical and management skills. For each subcontractor organisation,
provide their company details, specific role in the contract, location, key personnel and
their skil s and experience and detail their commitment to the contract and expected
working hours per month. Include how your subcontractors wil  engage consistently
through the appropriate channels. Please include a one-page CV of the sub-contractor’s
key personnel including their relevant qualifications and relevant experience associated
with the works that they are being sub-contracted for.
[Insert response here]
R-07
  TEAM RATIONALE
Why are you proposing your team and subcontractors in the way you have?
[Insert response here]
R-08
  KEY PERSONNEL RISK MANAGEMENT
Describe how you manage key personnel (and subcontractors) changes, seamless
transition and continuity of a high skil  set throughout the delivery of the contract.
What other contract commitments do they have at the same time as this contract that
could impact their ability deliver on time?
[Insert response here]
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R-09
  QUALIFICATIONS – TEAM MEMBERS
For the duration of the contract, the chosen supplier will be responsible for maintaining
their team’s qualifications.
Please confirm which team members hold or will hold the required certifications to meet
GW’s requirements:
a)  For team members assigned to working on the rail corridor holds or will hold
the required KiwiRail qualification
b)  For team members working on GWRC signage hold the required product
certification, and/or equivalent handling competency or higher
c)  For team members working at height and with traffic management
responsibilities, confirm they hold the appropriate qualifications/certifications
d)  For team members working with illuminated signs, that they hold Electrical
Workers Registration Board certifications.
Any additional qualifications as they relate to GWRC’s requirements.
[Insert response here]
R-10
QUALIFICATIONS - ORGANISATION
For the duration of the contract, the chosen supplier will be responsible for maintaining
their qualifications at the organisational level.
Please provide evidence certifications to meet GW’s requirements:
a)  For precondition 1, please confirm you have the applicable product
accreditations (3M or Avery Dennison Partner), warranties and guarantees,
and provide copies of these as evidence as an appendix to your Proposal.
b)  You have had a Permit to Enter the rail corridor with KiwiRail, issued in the
last three years. Please submit a copy of this permit with your application. This
doesn’t need to cover the services being tendered or be current. However, it
will illustrate that the Respondent can adhere to the strict health and safety
standards required by KiwiRail when applying for the permit that is required to
deliver the services.
Any additional qualifications as they relate to GWRC’s requirements.

[Insert response here]
3.3.3 Methodology and Signage Requirements
We seek facts about your organisation, your methodology & engagement model
#
Requirement
R-011    TRANSITION METHODOLOGY & TIMELINE
We want to understand your process for transitioning from our incumbent signage
supplier to you.
Describe your contract implementation methodology and timeline including a detailed
Gantt chart. In your methodology, please include a description with any appendices about
how you will manage quality and environmental matters.
[Insert response here]
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R-012    SIGNAGE END TO END PROCESS
We are interested in how you wil  deliver on GWRC’s requirements. Please describe your
signage processes from design through to instal ation including software used to design
signs.
What are the limitations GWRC need to be aware of?
At what points in the process do you require GWRC input, and what dependencies do you
have on our teams to deliver in a timely manner?
[Insert response here]
R-013    REPORTING AND FILE SHARING
We are interested in how you wil  deliver on GWRC’s requirements. Please describe your
signage processes from design through to instal ation.
What are the limitations GWRC need to be aware of?
At what points in the process do you require GWRC input, and what dependencies do you
have on our teams to deliver in a timely manner?
[Insert response here]
R-014    GWRC DESIGN AND REVIEW PROCESS
We want to work with you to agree an efficient design and review process. Our aim is to
streamline approvals and eliminate manual steps. This may include file sharing, approval
steps and automated notifications that make the process as efficient as possible.
[Insert response here]
R-015    SIGNAGE STORAGE, FABRICATION AND PRINTING FACILITIES
We are interested in understanding your storage, fabrication, and printing facilities that
you are proposing to meet GWRC’s requirements. Please introduce the facilities to us, the
address and why you are proposing it for the purposes of this RFP.
a)  Where are your facilities based, and how will you transport inventory from the
facilities to GWRC’s sites?
b)  If your facilities are based outside Wellington, how will you ensure timelines
for installation are met on an ongoing basis?
Our team may do a site visit to your facility, as described in the due diligence activities.
[Insert response here]
R-016    MAINTENANCE
We would like to understand how your signage maintenance programme works. Please
provide an overview of how you ensure warranty and maintenance obligations are
upheld.
[Insert response here]
R-017    URGENT SIGNAGE REQUESTS
From time to time, we might require short-notice disruption signage of a temporary
nature (decals, posters or corflute signage). What is your capability and timelines for
fulfilling printing and installation requests like this?
Please exclude pricing from your answer, this will be addressed in the Excel price
proposal.
[Insert response here]
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R-018    ASSETS EXPERT ADVICE
We require a supplier that will work with us and provide cost effective, expert advice
when we stand up new sites or enhance/re-construct existing sites to provide expert
advice on sign type and placement. How will you provide advice and direction to achieve
the desired outcome?
[Insert response here]
R-019    INNOVATION & PRODUCT ROADMAPS
Based on what you know about us from the RFP,
a)  Tel  us about innovations you've put in place to streamline the signage
design/templating process.
b)  What new ideas or innovations can you offer, how would these benefit our
organisation and how could we measure these? For example, greater
efficiency, better quality solution.
How wil  you share product roadmaps on an ongoing basis, to ensure GWRC can continue
to be across the latest signage solutions?
[Insert response here]
R-020    SIGNAGE AND ENVIRONMENTAL OUTCOMES
We are interested in partnering with a supplier who is committed to ongoing process
improvements with environmental benefits. How will you share your process
improvement initiatives with us?
[Insert response here]
R-021    RISK MANAGEMENT
Identify material risks associated with your solution and how you will mitigate these
(prevent them from happening) and manage them (if they do happen).
[Insert response here]
R-022    ASSET MAINTENANCE
You will be required to manage a complex set of sites that have a high level of Health and
Safety requirements. These are high risk sites and require specific access permits, training,
tools, material, and trained personnel. Describe your methodology to access the sites,
equipment used when providing preventative and reactive maintenance to ensure
continuation of service at the specified levels and how you will adhere to all Health and
Safety rules and obligations.
[Insert response here]
R-023    GOVERNANCE AND ACCOUNT MANAGEMENT
We would like to establish an efficient governance and account management model with
you. For other similar clients, what governance model would you propose for GWRC? This
may include monthly account meetings, quarterly senior management reviews and annual
strategic reviews and roadmaps. In explaining your model, please identify the people
involved and their roles.
[Insert response here]
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R-024    PERFORMANCE MEASUREMENT AND MANAGEMENT
We wish to establish a robust and transparent model with you. Can you propose an initial
set of Key Performance Indicators for GWRC’s consideration? Please include SLAs for
urgent priority requests.
[Insert response here]
3.3.4
Health, safety, quality, and wel being requirements
R-025    HEALTH, SAFETY, AND WELLBEING - INTRODUCTION
GW are looking to understand your commitment to health, safety, and wellbeing
throughout the life of the contract.  The following questions are looking for proof that
Health, Safety, and Wellbeing (HSW) is woven into the fabric of your business operations.
Not just your end products, but also how you deliver services without harm to your staff
and others. The fol owing questions explore your commitment and practices to ensure
you have and maintain effective health, safety, and wellbeing management systems.
These questions also help us understand how you have harnessed the benefits of safety
by design principles, as well as the integration robust health, safety, and wellbeing
practices into past work or contracts.
At a high level, how do you demonstrate that:
1.  Effective HSW is an organisational priority?
2.  Your senior managers influence HSW outcomes?
3.  You empower your workers to actively participate in HSW matters?
Your response here
R-026    HEALTH, SAFETY, AND WELLBEING – INDEPENDENT ASSESSMENT
Has an independent assessment been conducted on your HSW management systems? If
yes, who carried it out, what were the results of the assessment and why did you decided
to invest in an independent assessment?
Your response here
R-027    HEALTH, SAFETY, AND WELLBEING – HEALTH & SAFETY BY DESIGN
In a single page, provide an example from a previous contract where you successful y
incorporated the 'Health and Safety by Design 'principles2?
In your response to this question, please outline the challenges you faced, the strategies
you used to overcome them, and the impact on service provision, product safety and user
experience.
Your response here
R-028    HEALTH, SAFETY, AND WELLBEING – OVERLAPPING DUTIES
Provide a detailed explanation of how you meet your HSW obligations when your duties
overlap with other parties such as subcontractors? Specifically, we are interested in your

2 https://www.worksafe.govt.nz/topic-and-industry/health-and-safety-by-design/health-and-safety-by-design-gpg/
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approach, as the main contractor, to ensuing effective consultation, cooperation,
coordination3 with other parties throughout a contract.
Your response here
R-029    HEALTH, SAFETY, AND WELLBEING – PLANNING & RISK MANAGEMENT
Provide a detailed description of how you meet your HSW obligations during contract
planning and risk management. Specifically, we're interested in understanding your
approach to identifying potential hazards, conducting thorough risk assessments,
developing effective strategies to manage these risks, and reviewing control measures to
determine their ongoing effectiveness.
Your response here
R-030    HEALTH, SAFETY, AND WELLBEING - TRAINING
Please provide a short statement explaining how you meet your obligations with respect
to each of the following areas.
1.  Health, Safety and Wellbeing
2.  Training and competency
3.  Incident management
4.  Injury management
5.  Emergency preparedness
Your response here
R-031    HEALTH, SAFETY, AND WELLBEING – CONTINUOUS IMPROVEMENT
Provide a detailed explanation of how your business fosters continuous improvement in
HS&W.
Specifically, we are interested in the proactive steps and strategies that have been
initiated through the routine review of daily work activities, underscoring your
commitment to ongoing enhancement in safety measures.
Your response here
R-032    QUALITY MANAGEMENT SYSTEMS
We would like to understand what accreditations your organisation holds around Quality
Management Systems. This covers all aspects of the contract to ensure outcomes are
delivered to the highest standards, on time and to budget.
Please provide us with an overview of what your QMS looks like, and how this provides
the assurances we seek.
Your response here

3 PCBU’s working Together: advice when contracting – Worksafe NZ

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3.3.5 Broader outcomes and public value
We want to understand the social, environmental, cultural, or economic outcomes that your solution
brings. In scoring this section, we place high value on the three Broader Outcomes described below.
As a minimum standard and to be considered further, please describe how these are incorporated
into your Proposal, where applicable and as appropriate. Please provide evidence that demonstrates
your claims.

Requirement
R-033    Kaitiakitanga and Social Wel being:
We encourage initiatives that embrace cultural diversity, inclusivity, and recognition of
our indigenous heritage.
•  We want suppliers to show us how they support Māori and Pasifika employees
to celebrate their heritage through their work and sharing of Matauranga
Māori and traditional practices.
•  We will also encourage suppliers to partner with Māori or Pasifika owned
business or social enterprises where possible. We want contractors to show
how they support social wel being and engagement with the local community,
enabling them to be more connected and involved in the contract.
We require all suppliers to pay the Living Wage to all staff and support this practice
through the contract supply chain.
[Insert response here]
R-034    Economic Wel being:
We support prosperity through quality employment pathways.  We encourage
increased opportunities, upskilling and innovative supply chain initiatives, that
encourage a more resilient workforce and reduced inequalities.
•  We want suppliers to demonstrate how they are helping create employment
opportunities and career pathways for target sectors, partnering with local and
agency organisations to reduce barriers to employment.
•  We want suppliers to show how they are adding to a diverse supplier model to
increase resilience and support a robust local economy.
We promote and support partnership applications, local suppliers and subcontractors
and innovative solutions.
[Insert response here]
R-035    Environmental Wel being:
We support initiatives that protect and enhance the local environment as well as
considering global environmental challenges such as climate change.
•  We want suppliers to show how their organisation and operations support a
circular economy in terms of waste minimisation.
We want suppliers to show how their organisation can contribute to Council’s target of
being Carbon Zero by 2050 and support New Zealand’s carbon reduction
commitments, through energy efficiency, use of alternative energy sources and
innovative solutions through the supply chain.
[Insert response here]
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Section 3.2 Non-price Assumptions
Please state any assumptions you have made in relation to the Requirements (not Pricing).
Assumptions
Your response here

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SECTION 4: Price
•  In the Part 1 Section 4 we have outlined the pricing information that we are seeking.
This should inform you how to present your proposed price. We have provided a

template you must use this for your pricing information (Part 3 Pricing Template).
Supplier
•  In preparing your pricing information you must consider all risks, contingencies and
tips
other circumstances relating to the delivery of our Requirements and include adequate
provision for them. You must also document any assumptions that you have made in
costing the ful  delivery of the Requirements within the Part 3 – Pricing Template.
•  If we have asked for a two-envelope response you must put all financial and pricing
information in the Part 3 Pricing Template
Section 4.1 Pricing
Please  submit  your financial information and pricing using Part 3  Pricing Template.  This  is a separate
spreadsheet.
Section 4.2 Pricing Assumptions
Please state any assumptions you have made in relation to the cost and pricing information within the Part
3 Pricing Template.
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SECTION 5: Proposed Contract
•  In the Proposed Contract we have detailed the terms and conditions of our Proposed
Contract. We need to know whether or not you are prepared to do business based

on the Proposed Contract.
Supplier
•  If you have any points that you wish to make about the Proposed Contract this is
tips
where you tel  us. Note below any suggestions or changes you wish to propose.
•  It is important that, if asked, you are able to explain why your changes are important
to you.
•  In deciding which Respondent/s to shortlist the Buyer wil  consider  each
Respondent’s wil ingness to meet the Proposed Contract terms and conditions.

This section is not required.
You are not required to review the draft contract or provide any tags or feedback at this stage of the
procurement. We attached the draft contract to the RFP for informational purposes only. This document
is a first cut and will be a basis for discussions with shortlisted suppliers.
For now, no action is required.
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SECTION 6: Our declaration
•  Here you are asked to answer questions and make a formal declaration.
•  Remember to select ‘agree’ or ‘disagree’ at the end of each row. If you don’t you

wil  be deemed to have agreed.
Supplier
tips
•  Remember to get the declaration signed by someone who is authorised to sign and
able to verify each of the elements of the declaration e.g., chief executive or a senior
manager.
•  If you are submitting a joint or consortium Proposal each Respondent (supplier
involved in the joint or consortium Proposal) must complete a separate declaration.

Respondent’s declaration
Topic
Declaration
Respondent’s
declaration
RFP Process,
I/we have read and ful y understand this RFP, including the RFP  [agree /
Terms and
Process, Terms and Conditions (shortened to RFP-Terms
disagree]
Conditions:
detailed in Section 6, as amended by Section 1, paragraph 1.6. if
applicable). I/we confirm that the Respondent/s agree to be
bound by them.
Collection of
The Respondent/s authorises the Buyer to:
[agree /
further
a)  col ect any information about the Respondent, except
disagree]
information:
commercially sensitive pricing information, from any
relevant third party, including a referee, or previous or
existing client
b)  use such information in the evaluation of this Proposal.
The Respondent/s agrees that al  such information wil  be
confidential to the Buyer.
Requirements:
I/we have read and ful y understand the nature and extent of
[agree /
the Buyer’s Requirements as described in Section 2. I/we
disagree]
confirm that the Respondent/s has the necessary capacity and
capability to fully meet or exceed the Requirements and will be
available to deliver throughout the relevant Contract period.
Ethics:
In submitting this Proposal, the Respondent/s warrants that it:
[agree /
a)  has not entered into any improper, illegal, collusive, or
disagree]
anti-competitive arrangements with any Competitor
b)  has not directly or indirectly approached any
representative of the Buyer (other than the Point of
Contact) to lobby or solicit information in relation to the
RFP
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c)  has not attempted to influence, or provide any form of
personal inducement, reward, or benefit to any
representative of the Buyer.
Offer Validity
I/we confirm that this Proposal, including the price, remains
[agree /
Period:
open for acceptance for the Offer Validity Period stated in
disagree]
Section 1, paragraph 1.6.
Conflict of
The Respondent warrants that it has no actual, potential or
[agree /
Interest
perceived Conflict of Interest in submitting this Proposal, or
disagree]
declaration:
entering into a Contract to deliver the Requirements. Where a
Conflict of Interest arises during the RFP process the
Respondent/s will report it immediately to the Buyer’s Point of
Contact.
Details of conflict of interest: [if you think you may have a conflict of interest briefly describe the
conflict and how you propose to manage it or write ‘not applicable’].

DECLARATION
I/we declare that in submitting the Proposal and this declaration:
a)  the information provided is true, accurate and complete and not misleading in any material respect
b)  the Proposal does not contain intellectual property that will breach a third party’s rights
c)  I/we have secured all appropriate authorisations to submit this Proposal, to make the statements
and to provide the information in the Proposal and I/we am/are not aware of any impediments to
enter into a Contract to deliver the Requirements.
I/we understand that the falsification of information, supplying misleading information or the
suppression of material information in this declaration and the Proposal may result in the Proposal
being eliminated from further participation in the RFP process and may be grounds for termination of
any Contract awarded as a result of the RFP.
By signing this declaration, the signatory below represents, warrants, and agrees that he/she has been
authorised by the Respondent/s to make this declaration on its/their behalf.
Signature:

Full name:

Title / position:
Name of
organisation:

Date:

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