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Page 1 of 34 Visionstream Australia Pty Ltd REQUEST FOR EXPRESSIONS OF INTEREST DOCUMENT FOR NBN PROJECTS

Visionstream Australia Pty Ltd REQUEST FOR … · 1.4.2 the “Pre-Qualification Questionnaire” form 1.4.3 Any other information that will allow for a comprehensive review and assessment

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Visionstream Australia Pty Ltd

REQUEST FOR EXPRESSIONS

OF INTEREST DOCUMENT

FOR

NBN

PROJECTS

Page 2 of 34

EXPRESSION OF INTEREST NO: NBN

Title: Telecommunications Infrastructure Installation and Maintenance

for the

NBN Project

Page 3 of 34

TABLE OF CONTENTS

1 LETTER OF INVITATION TO SUBMIT EXPRESSIONS OF INTEREST 4 2 INSTRUCTIONS TO COMPANIES 7 3 APPLICATION FOR REGISTRATION AS A PRE QUALIFIED COMPANY 10 4 PRE QUALIFICATION QUESTIONNAIRE 12

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1 LETTER OF INVITATION TO SUBMIT EXPRESSIONS OF INTEREST

Page 5 of 34

Ref:

1 October 2015

Attention:

Dear

RE: INVITATION TO SUBMIT EXPRESSIONS OF INTEREST

Telecommunications Infrastructure Installation and Maintenance for the NBN Project.

Visionstream Australia Pty Ltd,(Visionstream) invites you to submit an expression of interest with

regard to providing Installation and Maintenance services for the above Project.

You are requested to respond to this expression of interest invitation for the purpose of being selected

and registered by Visionstream as a pre-qualified Company.

Your response to this expression of interest invitation will be evaluated to establish if your Company

can be selected and registered as a pre-qualified Company for the Project.

This invitation to submit an expression of interest is in reference to the following services associated

with the Project:

REFER BELOW FOR EXAMPLES OF SERVICES

Telecommunication Technicians Fibre Optics

Telecommunication Technicians Copper

Telecommunication Technicians HFC

Telecommunications Civil Works

Telecommunication Maintenance Services in multi technology Services

The documents attached to this invitation to submit an expression of Interest has been provided:-

to assist you in determining whether or not you should submit an expressions of interest for

the Project, and

to assist you in assessing whether the scope of the services for the Project is within your

capabilities.

Please find attached the following expression of interest documents:

(a) Instructions to Companies

(b) Application for Registration as a pre-qualified Company

(c) Pre-Qualification Questionnaire

To be considered as a pre-qualified Company, the “Application for Registration as a pre-qualified

Company” form and the “Prequalification Questionnaire” must be completed and returned, as soon as

practicable:

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Visionstream

NBN Field Services

Level 1, 10 Browning St, West End, QLD, 4101

Email; [email protected]

Should you propose to provide your services in a joint venture or by any other form of partnership you

are required to submit complete details of each party comprising the joint venture or partnership on

the “Application for Registration as a pre-qualified Company” form.

Visionstream is not committed contractually to any Company that submits an “Application for

Registration as a pre-qualified Company” or who may become selected and registered as a pre-

qualified Company.

In order that we can assess your overall company structure, capabilities and experiences with your core

business you must submit details as requested in the attached Pre-Qualification Questionnaire.

We also requires you to provide the resumes of your senior personnel who have experience on similar

projects, and who would be available for this Project.

You may also provide other information that you consider is pertinent to this Project.

Please note that requests for quotations / invitations to tender associated with the Project will only be

invited from companies that are registered as pre-qualified Companies.

All communications regarding this “Invitation to Submit Expressions of Interest” should be addressed

to: Email: [email protected]

Regards

Ken Swift

National Commercial Manager

Page 7 of 34

2 INSTRUCTIONS TO COMPANIES

Page 8 of 34

SUBMISSION OF EXPRESSION OF INTEREST 1.0

1.1 The Company must prepare its Expression of Interest (EOI) submission based on the requirements described in the attached “Invitation to Submit Expressions of Interest” letter and these “Instructions to Companies”. The Company must complete and submit the “Application for Registration as a pre-qualified Company” and the “Pre-Qualification Questionnaire” with its submission.

1.2 The EOI submission must be submitted in hard copy format, comprising the original EOI submission. An electronic submission (email) of the completed EOI submission is acceptable, provided the full EOI submission is also submitted in hard copy.

1.3 The EOI submission must be lodged no later than the date specified in the “Invitation to Submit Expressions of Interest” letter.

1.4 The EOI submission must include the following:

1.4.1 the “Application for Registration as a pre-qualified Company” form.

1.4.2 the “Pre-Qualification Questionnaire” form

1.4.3 Any other information that will allow for a comprehensive review and assessment of the Company and its capabilities.

COSTS TO PREPARE THE EOI SUBMISSION 2.0

2.1 The Company will be responsible for all of its costs and expenses incurred in the preparation and submission of their EOI submission, including any costs and expenses associated with attending meetings with Visionstream.

2.2 Companies may be required to provide additional clarifications and information and attend meetings with Visionstream regarding their EOI submissions.

2.3 Visionstream will schedule and co-ordinate any meetings that are necessary regarding the EOI submission.

REVIEW OF EOI SUBMISSIONS 3.0

3.1 The EOI submissions will be reviewed by Visionstream.

3.2 The review process will consider all of the information provided by the Company in its EOI submission, including:

Specific expertise

Financial Structure

Occupational, Health and Safety record

capability – that includes relevance to the Project’s scope

Organization structure, resource and experience

Quality Assurance and Management

employee and industrial relations

environmental control

experience with similar projects

3.3 The approved Companies will be notified in writing of their registration as a pre-qualified Company for this Project.

CONFLICT OF INTEREST POLICY 4.0

The offering of gifts, entertainment, payments, loans or other favours for the purpose of obtaining favourable treatment is prohibited. Furthermore, it is Visionstream’s policy that in the event that any Company is found to have offered or given a gratuity to obtain favourable treatment, the Company involved may be refused further consideration for the Project

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CONFIDENTIALITY 5.0

All information provided by Visionstream, in connection with this EOI, including, without limitation, all EOI documents, other technical information, reports, designs, plans, drawings, models, specifications, processes, modes of operations, procedures, manuals and other information obtained by the Company through the process of this EOI invitation are the sole and exclusive property of Visionstream.

The Company must maintain strict confidentiality regarding this EOI. Failure to maintain this confidentiality may be cause for rejection of the Company’s EOI submission. No publicity or discussion of the Company’s involvement in the Project will be made by the Company unless previously approved in writing by Visionstream.

RETURN OF DOCUMENTS 6.0

In the event the Company decides not lodge an EOI submission for the Project, the Company must immediately return all EOI documents to the person named in the “Invitation to submit Expressions of Interest”

AUSTRALIAN CONTENT 7.0

For Projects within Australia, Visionstream’s philosophy is to encourage employment and business development firstly in the local area of the Project, secondly within the State of the Project and thirdly within Australia.

Accordingly, the Company should endeavour to conform to this requirement.

SIGNATURE REQUIREMENTS 8.0

A duly authorized officer of the Company must sign the EOI submission. If the Company is a corporation, the EOI submission must be signed by a duly authorized signing officer of the corporation. The office held by the signing officer must be stated with the EOI submission.

REGISTRATION IN SKILL TYPES 9.0

The companies may register their interests in one or more of the Skill Types described in the “Pre-Qualification Questionnaire”.

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3 APPLICATION FOR REGISTRATION AS A PRE QUALIFIED COMPANY

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I/We hereby make application for Registration as a pre-qualified Company for the above Project and declare that all particulars as lodged with our Expressions of Interest submission are true and correct in every detail.

I/We authorise Visionstream Australia Pty Ltd to effect any investigation to verify the statements and documents lodged with our Expressions of Interest submission, and to obtain clarification and information on the technical and financial aspects of this application.

Registered Business Name:

Trading Name:

ABN or ACN:

Registered Business Address:

Phone Number:

Facsimile Number:

E-Mail address

Specific Names of relevant persons who may be contacted for further information:

Technical:

Commercial:

Business Development:

Signed:

Name and title of signatory:

For and on behalf of:

(The attached “Pre-qualification Questionnaire” must be completed and submitted with this application)

Page 12 of 34

4 PRE QUALIFICATION QUESTIONNAIRE

Page 13 of 34

PROJECT: NBN Field Services

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TABLE OF CONTENTS

1.0 OCCUPATIONAL HEALTH AND SAFETY PERFORMANCE 15

2.0 FINANCIAL STATUS OF THE COMPANY 18

3.0 INSURANCES 19

4.0 ORGANIZATION STRUCTURE 20

5.0 SYSTEMS 21

6.0 QUALITY ASSURANCE 22

7.0 ENVIRONMENTAL QUESTIONNAIRE 24

8.0 EMPLOYEE RELATIONS 25

9.0 INDIGENOUS AND LOCAL COMMUNITY PARTICIPATION 26

10.0 GOODS AND SERVICES TAX (GST) 26

11.0 INDUSTRIAL RELATIONS (“IR”) 27

12.0 REFEREES 30

Page 15 of 34

OCCUPATIONAL HEALTH AND SAFETY PERFORMANCE 1.0

1.1 The information provided by the Company will be used by Visionstream to determine the occupational health and safety record of the Company.

1.2 The information provided will not relieve the Company from complying with the obligations imposed by the occupational health and safety requirements for the Project in the future.

1.3 The safe completion of this Project is of overriding importance and the assessment of the Company’s occupational health and safety performance will be crucial in the selection of pre-qualified Companies. A poor occupational health and safety record will be sufficient to preclude any prospective Company from being registered as a pre-qualified Company for the Project.

1.4 Please provide details of the person primarily responsible for occupational health and safety within your Company:

Name:

Position:

Qualification:

1.5 Please provide details of your Company’s representative for monitoring and controlling occupational health and safety in relation to this Project.

Name:

Position:

Qualification

Experience:

1.6 Please provide annual injury details in accordance with AS1885.1 for your Company within Australia and within each State of Australia. The figures shall be shown separately in the tables below:

AUSTRALIA 2011 2012 2013 2014 2015

No. of employees

No. of manhours worked

No. of First Aid Treatments

No. of Lost Time Hours

No. of Lost Time Injuries *

No. of Fatalities

* Do not include where lost time has been for less than one full shift.

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NOTE: The following tables must be completed where the Company has performed services in more than one State in Australia.

A separate table must be prepared and completed for each State.

Provide and complete extra tables if necessary.

STATE OF ……………………. 2011 2012 2013 2014 2015

No. of employees

No. of manhours worked

No. of First Aid Treatments

No. of Lost Time Hours

No. of Lost Time Injuries *

No. of Fatalities

* Do not include where lost time has been for less than one full shift.

STATE OF ……………………. 2011 2012 2013 2014 2015

No. of employees

No. of manhours worked

No. of First Aid Treatments

No. of Lost Time Hours

No. of Lost Time Injuries *

No. of Fatalities

* Do not include where lost time has been for less than one full shift.

1.7 In accordance with the formulae in AS1885.1 – 1990, please complete the tables below:

AUSTRALIA 2011 2012 2013 2014 2015

Total Injuries

Incidence Rate (IR)

Frequency Rate (FR)

Average Time Lost Rate (ATLR)

Injury Illness Statistical Index (IISI)

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(ie. ATLR x FR)

NOTE: The following tables must be completed where the Company has performed services in more than one State in Australia.

A separate table must be prepared and completed for each State.

Provide and complete extra tables if necessary.

STATE OF ……………………… 2011 2012 2013 2014 2015

Total Injuries

Incidence Rate (IR)

Frequency Rate (FR)

Average Time Lost Rate (ATLR)

Injury Illness Statistical Index (IISI) (ie. ATLR x FR)

STATE OF ……………………… 2011 2012 2013 2014 2015

Total Injuries

Incidence Rate (IR)

Frequency Rate (FR)

Average Time Lost Rate (ATLR)

Injury Illness Statistical Index (IISI) (ie. ATLR x FR)

1.7.1 Do you have a written occupational health and safety program? Yes No

If YES, please provide as a minimum an Executive Summary with your submission.

1.7.2 Do you have an orientation program for new employees? Yes No

If YES, please provide details with your submission.

1.7.3 Do you hold safety meetings for employees and floor supervisors? Yes No

If YES, how often? …………………………………………

1.7.4 Do you hold craft “toolbox” safety meetings? Yes No

If YES, how often? ………………………………………..

1.7.5 Do you conduct safety inspections? Yes No

If YES, who conducts this inspection?

Title:

Page 18 of 34

How Often?

1.7.6 Do you have a drug and alcohol education and random testing program? Yes No

If YES, please provide details with your submission.

FINANCIAL STATUS OF THE COMPANY 2.0

2.1 Company Structure

If a Company, state whether subsidiary or holding company

If a subsidiary company, state name of holding company

If a holding company, state names of subsidiaries

State date when Company commenced operations specific to company’s core business

2.2 Company’s financial details

Closing date of company’s trading year: ……………………………………………………..

Attach audited and certified copies of the company’s financial details for the last three trading years.

Has there been or is there likely to be any substantial change in the financial affairs of the company since the closing date of the above Accounts which might affect the ability of the company to successfully carry out work? Yes No

If YES, please provide details with your submission.

2.3 Parent Company Guarantee

Will the holding company issue a Parent Company Guarantee? Yes No

2.4 Bank Guarantee/Bond

Limit of Bank Guarantee/Bond available to company: ………………………………

Limit of Bank Guarantee/Bond available on individual contracts: ………………………….

2.5 Company Bankers

Provide details of company’s bankers:

Bank Name:

Address:

Bank Name:

Address:

Page 19 of 34

Provide and complete any further Bank details if applicable

INSURANCES 3.0

3.1 Applicants are to indicate whether or not they have current cover for the insurances listed below and are advised that, should they be under consideration following the submission of a tender price, they will be required to provide proof and details of the insurances during a Pre- Award Interview. Apart from Workers Compensation insurance which is MANDATORY for all applicants, a “No” answer below will not necessarily preclude the applicant from being invited to submit a tender, but the applicant will be expected to take out that insurance if required to do so by the tender documents.

3.2 If the applicant is a sole trader and does not have workers/ employees compensation insurance, then Accident Insurance and Income Protection Insurance should be provided to ensure that the sole trader is adequately insured in the event of injury or illness.

3.3 The values noted as “Minimum Cover” are a guide only, and may vary dependent on individual head contract or project requirements.

Insurance type Applicant has current cover

Minimum cover

Workers / employees compensation YES NO - MANDATORY -

As per State Regulations

Public and product liability YES NO Not less than $30 million in respect of any one occurrence

Contract works YES NO

Professional indemnity YES NO Not less than $20 million

3.4 If applicable please supply details of

Accident Insurance:

Income Protection:

Page 20 of 34

ORGANIZATION STRUCTURE 4.0

Provide details of the Company’s Organization Structure with your submission.

Details should include the holding company, all subsidiaries and the current numbers of employees.

4.1 EXPERIENCE AND RESOURCES

4.2 Specific Project Experience

4.2.1 Provide details of projects executed by your Company within the past five (5) years.

4.2.2 Please list the projects in chronological order, commencing from 2007, in the format of the table below.

Client Project Scope of work Approximate Value Aust Dollars

4.3 RESOURCES AND CAPABILITIES

4.4 company’s senior personnel

4.4.1 Provide details of the company’s senior personnel. Information to be included in attached table 1.

4.4.2 company’s employees

4.4.3 Provide details of the company’s employees and subcontractors available to provide services for the project. Information to be included in attached table 2.

Page 21 of 34

SYSTEMS 5.0

5.1 Provide details of systems utilised by your company.

Description Yes No

Electronic copies and paper copies for all deliverables and correspondence

Electronic Ticket of Works packages used.

Details and capabilities of systems used for Project Controls, Planning, Scheduling, Programming, Procurement, Expediting, Supplier Surveillance, Traffic and Logistics and Contracts Management including sample report

Page 22 of 34

QUALITY ASSURANCE 6.0

6.1 Company’s QA representative

Do you have a company representative who is responsible for monitoring, controlling and documenting quality?

Yes No

If YES please advise:

Name:

Position:

Reports To

Position

6.2 Company’s Quality Standard

6.2.1 Has your Company been assessed and certified against a recognised Quality Standard? Yes No

If YES please advise:

Quality Standard and Level

Assessment Body / Organization:

Registration Number:

Approval Date:

Expiry Date:

Scope of Registration

Note: Supporting documentation should be submitted in respect of the above.

Note: If your answer to Clause 5.2 is YES, ignore Clause 5.3.

When providing the following information, please refer to the relevant clause or section number

in your Quality Manual, where applicable.

Do you operate a quality system? Yes No

Do you have and implement procedures based upon your quality process?

Yes No

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Procedure Title Yes No Company’s Procedure Section/Clause Number

Design Control

Inspection and Test Plans

Corrective Action

Documentation and change control

Control of measuring and testing equipment

Control of purchased material and services

Control of purchaser supplied material

Control of special processes

Packaging, shipping, handling and storage

Manufacture / construction

Quality audits

How long are quality records maintained? ……………………………………

Has your company been audited for quality? Yes No

If YES please advise:

When? Advise dates:

By whom?

Auditing Standard/Code

Page 24 of 34

ENVIRONMENTAL QUESTIONNAIRE

6.3 Does your company have an Environmental Policy? Yes No

If YES, please provide details with your submission.

Please provide details of your company’s Environmental Training Procedures with your submission.

With your submission, please provide details of how your company’s Environmental Policy is conveyed to your employees with your submission.

With your submission, please provide details of what hazardous substances or dangerous goods are used in carrying out your activities.

Page 25 of 34

EMPLOYEE RELATIONS 7.0

7.1 The information provided by the company will be used by the Principal to make an assessment of the company’s industrial relations record.

7.2 Please advise the name, position and qualifications (if any) of the person within your company who is primarily responsible for employee relations.

Name:

Position:

Qualifications:

Please nominate Employer Organizations / Associations of which your company is currently a

member.

Please indicate the names of any Employment Agreements under which your company is

currently working or has worked in the last five years.

Please advise details of union coverage for your employee

DISCIPLINE:

UNION:

Page 26 of 34

INDIGENOUS AND LOCAL COMMUNITY PARTICIPATION 8.0

8.1 Preamble

8.2 The company acknowledges the Principal’s commitment to the employment of appropriately qualified indigenous people in connection with specific Project requirements. The company is encouraged to adopt a pro-active policy with respect to the employment of indigenous people.

Has your company had involvement in employment opportunities with indigenous groups?

Yes No

If YES, please provide details with your submission.

Have persons from indigenous groups ever been employed or utilised on previous Agreements?

Yes No

If YES, please provide details with your submission.

What is your company policy with this issue? Please provide details with your submission.

Does your company have a structured training and development scheme for indigenous advancement?

Yes No

If YES, please provide details with your submission.

GOODS AND SERVICES TAX (GST) 9.0

Is your company registered with the Australian Tax Office for GST? Yes No

Page 27 of 34

INDUSTRIAL RELATIONS (“IR”) 10.0

10.1 State and Federal Code Compliance

10.1.1The relevant State Code of Practice for the Building and Construction Industry (“State Code”)1, and the Federal Building Code 2013 (“Building Code”), together with associated Guidelines, if applicable, require Visionstream to ensure the workplace arrangements of potential subcontractors and suppliers, in respect of their construction activities, comply with the State Code and the Building Code.

10.1.2For this Expression of Interest to be considered, the applicant must:

Provide a copy of the applicant’s current industrial instrument to Visionstream for review; and

Complete the following questionnaire in full.

10.1.3 Has the applicant attached a copy of their current industrial instrument(s) for review by Visionstream?

YES NO

10.1.4 There is a requirement for all subcontractors on projects tendered under the Building Code, to have Code compliant industrial instruments.

Has the applicant had their industrial instrument assessed by the Department of Education, Employment and Workplace Relations (“DEEWR”) for Building Code compliance?

If YES, you must attach a copy of the letter from the DEEWR.

If “NO”, please provide details why not and what steps you are taking to rectify the situation in the space provided below.

YES NO

10.1.5 If the applicant has an enterprise agreement, does that agreement include a genuine dispute resolution procedure that allows for:

(a) employees to appoint a representative in relation to the dispute; and

(b) settlement of the dispute at the workplace level in the first instance, and in the event that it is not settled there, to be referred to an independent third party for mediation or conciliation, and if the dispute is still not settled, the capacity for the third party to settle the dispute by a decision binding on the parties?

YES NO

If the answer to any of questions 7.1.1 to 7.1.4 above is ‘NO’, please provide details:

...............................................................................................................................

...............................................................................................................................

1 State Code means, to the extent applicable to the works the subject of the Expression of Interest, the Victorian Code of

Practice for the Building and Construction Industry, the New South Wales Code of Practice for Procurement or the

Queensland Code of Practice for the Building and Construction Industry, together with associated Implementation

Guidelines.

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10.1.6 Has the applicant been sanctioned by the Australian Government or any other State or Territory Government prior to the date the applicant submitted this Expression of Interest for breaches of the Fair Work Act 2009, Workplace Relations Act 1996 (as it then was), Building & Construction Industry Improvement Act 2005 (as it then was), Building Code, State Code, pre-existing National Code of Practice for the Construction Industry or any Implementation Guidelines associated with any of those Codes etc (eg paying strike pay, discriminating against industrial instruments etc)?

Has the applicant had an adverse Court or Tribunal finding, order or penalty against them (not including decisions under appeal) for a breach of a workplace relations law, work health and safety law, workers’ compensation law, migration law or competition and consumer law?

YES NO

YES NO

10.1.7 Does the applicant, or any Related Body Corporate of the applicant, have workplace or enterprise agreements, policies or practices that would encourage or discourage employees on a project site to join or maintain financial membership with a relevant union or any industrial association, including the provision of union application forms with induction packages and informing prospective employees of their rights, obligations and benefits of union membership?

YES NO

10.1.8 Does the applicant have any requirements or practices that encourage, suggest or pressure their subcontractors or suppliers to adopt or require any particular form of industrial agreement or to adopt any particular terms and conditions of employment?

YES NO

10.1.9 Does the applicant use induction forms that require employees to identify their union status or require subcontractors or suppliers to identify the union status of employees?

YES NO

10.1.10 Do union delegates undertake or administer any part of the applicant’s induction process, or do they have access to the names of new staff, job applicants, subcontractors or suppliers? Are unions or union delegates or other employee representatives allowed to have unfettered access to pay or other employee records?

YES NO

10.1.11 Does the applicant have any arrangements where there is a requirement for the employment of a non-working shop steward or job delegate, or other such person, on the project site?

YES NO

10.1.12 Is there any requirement for the payment by any person or enterprise of a ‘bargaining fee’, however described, to any industrial association?

YES NO

If the answer to any of questions 7.1.5 to 7.1.11 above is ‘YES’, please provide details:

...............................................................................................................................

...............................................................................................................................

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10.1.13 Has the applicant reviewed the issues covered in Items 7.1.1 through to 7.1.11 inclusive with their subcontractors and/or suppliers?

YES NO

10.1.14 Are the subcontractors and/or suppliers Code compliant? YES NO

If the answer to any of questions 12.1.12 to 13.1.13 above is ‘NO’, please provide details:

10.2 COMPLIANCE WITH STATUTES

10.2.1Visionstream also has contractual and legal obligations to ensure that subcontractor employees engaged on a project / site are paid and/or credited with all their legal entitlements. These legal entitlements or obligations are those provided in statute and other legally enforceable state or commonwealth legislation.

10.3 COMPLIANCE WITH LEGAL ENTITLEMENTS

Does the applicant provide wages and conditions in accordance with any relevant industrial instrument or contractual arrangements?

YES NO

Has the applicant attached an example payslip or employee payroll details as verification (de-identified for privacy purposes) to Visionstream for review, with this Expression of Interest?

YES NO

10.4 SUPERANNUATION PROVISION

Does the applicant make contributions on behalf of eligible employees (as defined by the Australian Tax Office) into a superannuation fund nominated by the employees?

YES NO

Has the applicant attached proof of currency of superannuation contributions (de-identified for privacy purposes) to Visionstream for review, with this Expression of Interest?

YES NO

10.5 LONG SERVICE LEAVE

10.5.1Employers are required by State legislation to be registered with a portable long service leave fund administered at a State level (see below) and are also required to register their employees who carry out building or construction work within that State with the same fund.

10.5.2The state or territory and corresponding fund applying to this application is: (delete ALL that are not applicable)

ACT ACT Long Service Leave Authority

NSW Long Service Corporation

QLD Portable Long Service Authority (“QLeave”)

SA Construction Benefit Services (“CBS”)

TAS Tasmanian Construction Industry Long Service Scheme (“TasBuild”)

VIC CoINVEST

WA Construction Industry Long Service Leave Payments Board

NT NT Build

Proof of the applicant’s registration with the relevant LSL fund must be attached with this application.

What is the applicant’s Employer Registration Number? ………………….

Proof of registration provided YES NO

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REFEREES 11.0

11.1 Please provide the names, positions and contact details of the independent people the principal can contact

as your referees regarding your company.

REFEREE CONTACT DETAILS

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TABLE 1 – COMPANY’S SENIOR PERSONNEL

Note: the details below is only an example – the document to be issued must be prepared to address the requirements of the project

Senior Personnel Number of Personnel

Project Directors

Project Managers

Engineering Managers

Senior Process Engineers

Senior Design Engineers

Safety Managers

Quality Managers

Environmental Managers

Operations Managers

Manufacturing Managers

Other Relevant Senior Staff as listed below:-

Page 32 of 34

TABLE 2 – COMPANY’S EMPLOYEES

Note: the details below is only an example – the document to be issued must be prepared to address the requirements of the project

Description of Work Number of Company’s Employees

Number of Subcontractor’s

Employees

Name of Subcontractor

Project Management

Telecommunication Technicians

Fibre Optics

Telecommunication Technicians

Copper

Telecommunication Technicians HFC

Telecommunications Civil Works

Telecommunication Maintenance

Services in multi technology

Services

Plumbing

Electricians

Plastering

Traffic Control

Landscaping

Concreting

Building repair and maintenance

Page 33 of 34

TABLE 3 – COMPANY’S GEOGRAPHICAL LOCATIONS FOR DEPLOYMENT

Note: the table to be issued must be prepared to address the requirements of the project

NSW:

QLD:

VIC

NT

WA

SA

Page 34 of 34

TAS