Fire Prevention Contractors – Expression of Interest online form Step 1 of 2 50% HiddenRecord ID Incremental ID PLEASE NOTE: It is important that you have read and understood the information on the previous page.Please click this link if you need to review the page again.*PLEASE NOTE: It is important that you have read and understood the information on the previous page.Please click this link if you need to review the page again. I acknowledge that: I have read and understood the information on the previous page. Business name* ABN* Contact person* Given name(s) Surname Postal address* Street Address Address Line 2 City Postal Code Phone*Business hours 9am to 5pmEmail* Enter Email Confirm Email HiddenSelect all areas you can provide a service in* Black Range Deep Lead Glenorchy Great Western Halls Gap Marnoo Navarre Roses Gap St Arnaud Stawell Stuart Mill Select the areas you can provide a service in:* NORTH (St Arnaud, Marnoo, Stuart Mill, Navarre) SOUTH (Glenorchy, Stawell, Halls Gap, Great Western) Select all services you can provide* Mowing - smaller properties Mowing - large properties / vacant blocks Slashing - large properties / vacant blocks Brush cutting Gardening (weeding, pruning etc.) Equipment available to undertake the works,*e.g. slasher, ride on mower...etc. Do you have current Public Liability Insurance?* Yes No Upload your Public Liability Insurance*Max. file size: 128 MB.Applicants will be contacted shortly following the EOI deadline for further information as part of the assessment process. Successful contractors will be notified by 16 October 2020. For more information, please contact council’s Municipal Fire Prevention Officer at mfpo@ngshire.vic.gov.au or on 03 5358 8700. AcknowledgementPrivacy Collection Statement*Personal information requested on this form will only be used by council to carry out its functions and activities and will not be disclosed without your consent except where authorised by law. If you do not provide all or part of the personal information required we may not be able to process your request in an effective and efficient manner. You have the right to seek access to and correction of your personal information. I acknowledge that: I have read and understood the Privacy Collection Statement and consent to my personal information being used for the purpose specified. Submission Statement*This request can only be made by the named applicant. If you are submitting this application on behalf of another person or entity you must be duly authorised to do so. By submitting this application you are confirming that you are authorised to do so and declare that the information is correct to the best of your knowledge. I acknowledge that: I have read, understood and confirm I am complying to the above Submission Statement. CAPTCHA
