Department of Primary Industries, Parks, Water & Environment

PROPERTY SERVICESREQUEST TO BE LISTED TO QUOTE FOR JOBS

LAND MANAGEMENT ACTIVITIES ON CROWN LAND

YOUR DETAILS

Company OR Business Name

(Include the full name of all parties

to the business as these details will

appear on the contract for service).

Address:

Contact Person:

Email Address:

Day telephone contact: Mobile Phone:

JOB TYPES Tick to be Listed for all or any of the following job types.

QUOTE FOR JOBS IN EITHER ALL OR SPECIFIC MUNICIPALITIES

ACN No: ABN No (If different from ACN):

All municipalities OR

Specific municipalities (list them below)

Brushcutting and/or slashing

Creation of firebreaks

Tree felling or tree limb removals

General maintenance (ie installation of signs, replacement of windows, boarding of windows)

Rubbish removal (ie car bodies, car tyres, garden waste, dry fuels, other general rubbish)

Erecting and/or installation of access barriers (ie rocks, boom gates, trenches, fences)

Removal of wasp nests (or other specified insect nests)

Removal of dead animals

Removal of illegal structures (ie sheds, jetties, fences)

Removal and/or spraying of weeds

Removal of dangerous substances (ie asbestos) and/or clearing of contaminated sites

Clearing blocked drains and creeks

Erosion control

MANDATORY PRE-SELECTION CONDITIONS CHECK LIST

Attach the following details which demonstrate your capacity to meet the pre-selection conditions.

1 Copies of insurances attached

2 Copies of Certificates and/or Licences for the type of work being Listed are attached

3 For each of the types of jobs being listed, provide brief details about what activities you employ to meet appropriate OH&S standards?

4. What work practices you might employ that minimises disruption to local residents whose land is close to, oradjacent to Crown land?

5. How would you inform and communicate with residents about jobs which may impact on them?

6. What is your commitment to and capacity to deliver positive climate change outcomes, specifically aroundmeasures to reduce carbon emissions in disposing of rubbish, green waste, burn offs, chemicals etc?

7. Provide two recent referees for the job types being Listed -

Name:

Day time telephone number:

Type of work:

Name:

Daytime telephone number:

Type of work:

Tick the box to confirm that you are able to provide a Fire Management Plan (if requested) for any jobs involving fire, that meet the standards required of the Tasmanian Fire Service.

Send this form and your attachments to:

Property Services GPO Box 44 HOBART Tas 7001

Fax: 03 6173 0226 Email: PropertyServices@parks.tas.gov.au

For more information about Listing visit www.parks.tas.gov.au