Acceptance Of Offer Of Conditions Of Agreement For The Provision Of Drainage Page 2
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1
2Form - B1
Works Offer Acceptance Form
Please tick appropriate box for payment option:
Attached is a cheque / money order for $________ ,
Payment by Cash
Note: do not send cash in the mail
payable to: MELBOURNE WATER CORPORATION
Or please charge my credit card:
Bankcard
Mastercard
Visa
:
/
/
/
Card No
Cardholder
Expiry
/
Signature:
Date:
Please note: credit card payment cannot be accepted for amounts exceeding $10,000
Signature of Owner(s):
_____________________________________________
_____________________________________________
Date:
_____/_____/_____
Office use only:
Amount
Centre No.
Account No.
Drainage Scheme
$
Contribution:
Other :
$
Consultant's acceptance
**Note: Consultant’s Acceptance is not required for acceptance of a Non-Works Offer
As the Owner's nominated Consultant, I/we:
• agree to manage this project under a quality management system which is currently third party
certified as meeting the requirements of AS/NZS ISO 9001 - 1994,
• accept Melbourne Water as a quality auditor,
• accept responsibility for the design, contract administration and supervision, and provision of ‘As-
Constructed’ survey information for the Works,
• agree to pay for rectification works resulting from non-compliance with Melbourne Water's
requirements or the requirements of the above quality management system,
• agree to comply with the requirements of Melbourne Water's Standard Conditions for Provision of
Drainage Works by Agreement,
• have read and understood all relevant Melbourne Water Land Development documentation without
limitation, concerning provision of the Works by Agreement, and
• acknowledge that the signatory below binds me/us to the terms and conditions of this Acceptance
Form.
**Signature of Consultant:
_____________________________________________
On behalf of:
______________________________________ Date: ___ / ___ / _____
Standard Forms
January 2008
Page 2 of 2
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