EVALUATION REPORT [RFQ ONLY] Title: Request Number: Agency: EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – REQUEST NO xxxx 2 of 8 DTF VERSION 010108 TABLE OF CONTENTS 1 SUMMARY ............................................................................................................. 3 2 THE EVALUATION................................................................................................. 4 2.1 EVALUATION PANEL PARTICIPANTS................................................................................... 4 2.2 SUPPLIERS INVITED TO QUOTE OR ADVERTISEMENT DETAILS..................................... 4 2.3 OFFERS RECEIVED ................................................................................................................. 4 2.4 QUALITATIVE SCORE AND PRICE SUMMARY TABLE........................................................ 4 3 RECOMMENDATION............................................................................................. 6 3.1 BASIS ....................................................................................................................................... 6 3.2 REFEREE REPORTS [IF APPLICABLE] ................................................................................. 6 4 ENDORSEMENT BY EVALUATION PANEL......................................................... 7 EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – RFQ NO xxxx 3 of 8 DTF VERSION 010108 1 SUMMARY ITEM RESPONSE Contract Title: Contract Authority: (name of Contract Authority) Scope: [provide a brief overview of what is to be purchased/provided] Contract Term: • Initial: • Extension options: Recommended Respondent: (name of Recommended Respondent) See ‘Basis of Decision’ at Section 3 Total Contract Value: $(insert $ amount) Price Basis: Fixed for (inset period) Variable for (insert period) Variation Index: [if prices can be varied, on what basis will variations be permitted eg CPI] Offer Validity Expiry Date: When does the offer validity date expire? (insert the date here) Anticipated Contract Commencement Date: (insert date) Buying Rules: [panel contracts and CUA only] Explain the buying rules that either comply with SSC policies (eg. firm prices) or have been separately agreed with the SSC and/or DTF. Provide details of buying rules if not in accordance with SSC policies and state basis of SSC and/or DTF approval for the departures from standard policy. Small Business? (<20 people) YES /NO EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – RFQ NO xxxx 4 of 8 DTF VERSION 010108 2 THE EVALUATION 2.1 EVALUATION PANEL PARTICIPANTS Name Agency Job Title Voting/Non Voting Member The evaluation panel chairperson was (Name, Title and Contact details). The evaluation panel facilitator was (Name, Title and Contact details). 2.2 SUPPLIERS INVITED TO QUOTE OR ADVERTISEMENT DETAILS The following suppliers were invited to quote: a) (Name) (plus location eg Perth, NSW) b) c) OR The RFQ was advertised in (name of newspaper) on (date). 2.3 RESPONSES RECEIVED Responses were received from the following organisations: d) (Name) (plus location eg Perth, NSW) e) f) 2.4 QUALITATIVE SCORE AND PRICE SUMMARY TABLE Qualitative Requirement/Criteria Weighting Respondent A Respondent B Respondent C Raw /9 Weighted /9 Weighted % Raw /9 Weighted /9 Weighted % Raw /9 Weighted /9 Weighted % 1 Understanding of the required tasks X% 2 Organisational capacity X% 3 Experience X% EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – RFQ NO xxxx 5 of 8 DTF VERSION 010108 Total Weighted Score & (%) Qualitative Ranking Price Buy Local Preferences Total Price Price Ranking EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – RFQ NO xxxx 6 of 8 DTF VERSION 010108 3 RECOMMENDATION 3.1 BASIS (Name of Respondent) is the Evaluation Panel’s recommended Respondent. The basis for this decision is as follows: a) Quality (Briefly Discuss) b) Price (Briefly Discuss) A settlement discount of (discount%)% will apply for payment made within (number of days) days of rendering of the account. In summary, (name of Respondent) is best suited to meet the Request requirements at a competitive price and therefore, represents Value for Money. 3.2 REFEREE REPORTS [IF APPLICABLE] As part of the evaluation process, a number of referees were contacted. The following table provides a summary of the referees contacted and their comments in relation to the recommended Respondent. Referee Contact Comments Organisation Contact Person Organisation Contact Person Organisation Contact Person EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – RFQ NO xxxx 7 of 8 DTF VERSION 010108 4 ENDORSEMENT BY EVALUATION PANEL Name //Name //Name //EVALUATION REPORT DRAFT/FINAL EVALUATION REPORT – RFQ NO xxxx 8 of 8 DTF VERSION 010108 Buy Local Reporting Requirements – 2007 /2008 The below information is provided to assist public authorities with their 2007 /2008 Buy Local Reporting requirements In relation to this report please note the following: -It is to be completed for each Request prior to the Evaluation Report being signed off; -The form is designed to provide information for up to 3 contracts and 3 contractors; -If there are more than 3 contracts and 3 contractors, complete additional forms; and -If you are awarding one contract to one contractor all the information will go under ‘contract 1’. If you are awarding more than one contract, use the additional columns. 1 Contract Title 2 Request Number 3 Agency Name 4 Principal 5 No. of Contracts 6 What is the Contract Delivery Point (Choose from the list and put under contract 1, 2 or 3 as appropriate) ˇ Perth ˇ Gascoyne ˇ Goldfields-Esperance ˇ Great Southern ˇ Kimberley ˇ Mid West ˇ Peel ˇ Pilbara ˇ South West ˇ Wheatbelt Contract 1 (region) Contract 2 (region) Contract 3 (region) 7 Total Contract Value (including ext. options) $ $ $ Questions 8 through to 11 relate to information regarding the contractor(s) (name of contractor ) (name of contractor ) (name of contractor ) 8 Where is the Contractor located for the purposes of this contract? Show the city/town and State (eg Perth, WA, Broome WA, Melbourne, VIC) (location) (location) (location) 9 Local Business Is the Contractor a local business? If ‘yes’, what is the total contract value (including extension options) Yes/No $ Yes/No $ Yes/No $ 10 Contract Prescribed Distance (not applicable if answered ’No’ to Q9 above ) Was the contract awarded to a local business located within the Contract Prescribed Distance? If ‘yes’, what is the total contract value (including extension options) Yes/No/NA $ Yes/No/NA $ Yes/No/NA $ 11 Regional Price Preference (not applicable if answered ’No’ to Q10 above ) Was the contract awarded as a direct result of applying a Regional Price Preference? If yes, what was the total value of the regional price preference that was applied? Yes/No/NA $ Yes/No/NA $ Yes/No/NA $