ORDER TEMPLATE

Note: The use of this template by an Agency is not mandatory when procuring Legal Services from the LSMUL.

This Order is made in accordance with the Deed and needs to be read in conjunction with that document, including the Default Terms and Conditions or, where relevant, the Agency Specific Agreement and any attachments to this Order.

< Service Provider>

Sent via :

Insert name of Agency

Agency file reference /

Order Number

Agency Project Officer (Instructing Officer)

Work specification for Commencement Date

Order Term [x] from the Commencement Date (initial term).

Timeframes/ Milestones

Specified Personnel

Subcontractors

Location

Terms and Conditions Fees, Charges and Commonwealth Material Existing Material

Contract Material Confidential Information

Information on confidentiality provisions is available at: http://www.finance.gov.au/procurement/procurement-policy-and- guidance/buying/contract-issues/confidentiality-procurement- cycle/principles.html >

Agency Confidential information Period of Confidentiality Agency data Indefinitely Any Personal Information held by Indefinitely the Agency Security Classified Information Indefinitely

The Service Provider Confidential Period of information Confidentiality Information on the Service Indefinitely Providers performance List Rates (excluding the total value Indefinitely of the Contract)

Additional Security Additional Insurance Other Requirements

Agency Representative Title: [Insert Details]

(Currently: [Insert Name])

Physical Address: [Insert Details]

Postal Address: [Insert Details]

Fax number: [Insert Details]

Email: [Insert Details]

Agency Address for Physical Address: [Insert Details] Notices Postal Address: [Insert Details]

Fax number: [Insert Details]

Email: [Insert Details]

Agency Address for Invoices

Service Provider Name: [Insert Details] Representative Title: [Insert Details]

Physical Address: [Insert Details]

Postal Address: [Insert Details]

Fax number: [Insert Details]

Email: [Insert Details]

Service Provider Physical Address: [Insert Details] Address for Notices Postal Address: [Insert Details]

Fax number: [Insert Details] Signed for and on behalf of Commonwealth of Australia as represented by the Department of [insert details] ABN [insert] by

Signature of authorised officer

______name and title of authorised officer

Date