ICT Services Evaluation Template

Government of Western Australia Department of Your Dept Name here

Evaluation Template This evaluation template is not recommended for complex procurements. Contracts over $2.5M should use standard evaluation report templates. NB: (1) Procurements of $250,000 and above require Finance GP involvement. Contact an Assistant Director in Agency Procurement Services with any queries. (2) Evaluation panel of at least two voting members must be convened for estimated contract value of $50,000 to $250,000. Public Authority Information

Quotation Reference Number: Date of Issue: Quotation close date: (if applicable) Customer (Public Authority) : (or other approved user) : Customer contact person:

Phone: Mobile: Fax:

Email:

Procurement Description

Category Service  Sub-Category (if Activities applicable) (if applicable)

ICT Planning and Advisory 1 Services ICT Business Solutions 2 Implementation Services ICT Environment 3 Management Services

Quotation Information: Contract Term – Estimated Contract Value/ Budget -

Scope: .

Deliverables: .

Last Updated – 14 December 2017 Special conditions applicable: (Insurances, liabilities, police clearance, warranties, IP, confidential declarations, liquidated damages)

Evaluation Criteria: . Qualitative Criteria used (if applicable)

Evaluation of quotations:

Company Price Comparison of Quotations Outcome Name (Recommended (include comparative statements of each quote against assessment of qualitative criteria specified in the Quotation form, e.g. costs, risks, suitability /Not or experience) Recommended)

Justification/ Recommendation

The recommended quote is from xxxxx for the amount of $XX (inc. GST or exc. GST) on the basis of xxxxx…

Evaluation Report Name Title Signature Date Prepared by:

Evaluation Panel Name Title Signature Date Members:

Recommendation Name Title Signature Date Approved by Delegated Authority:

Last Updated – 14 December 2017 Contract Award Checklist

Purchase order issued or Purchase order number: (if applicable) 

Customer Contract Documentation prepared (optional) 

Letter of appointment/engagement issued 

Decline and Notify Unsuccessful Respondents 

Note whether the contractor a small business? 

All contracts awarded $50,000 or over MUST be published on Tenders WA  www.tenders.wa.gov.au Or contact your Finance GP representative OR the Tenders Office

Last Updated – 14 December 2017