Supply of Equipment and Associated Services –
Order - Annexure A /
Ordering Participating Health Service Details / Name: / Click here to enter text.
ABN: / Click here to enter text.
Address: / Click here to enter text.
Invoices to be sent to:
Name: / Click here to enter text.
Address: / Click here to enter text.
Contractor Details / Insert name, ABN and address of Contractor which is contracting with Health Purchasing Victoria
Name: / Click here to enter text.
ABN: / Click here to enter text.
Address: / Click here to enter text.
Start Date and End Date / Click here to enter a date. - Click here to enter a date..
Include reference to duration of support and maintenance services
Description of Deliverables to be provided / As described in attached Specification (including Equipment spec, training requirements, parts, consumables, support and maintenance and other services)
Is Equipment to be purchased or leased from the Contractor?
Time for delivery / Insert date/time frame on which the Deliverable must be delivered.
Time for installation / Insert time frame for installation of the Equipment
Party with responsibility for unloading Deliverables
Delivery point (Clause 9.1)
Party with responsibility for disposing of previously installed equipment
Cost of upgrades to rental Equipment
Period of parts availability guarantee
Percentage of total price cap per part
Percentage of total price cap all parts
Is there a requirement for a separate software agreement at the time of ordering?
Period of maintenance and support guarantee (Clause 8.1(d))
Variation to warranty terms
Cost of post warranty maintenance outside normal hours
Price and Price Review Mechanism
(Price exclusive of GST)
Is interface required?
Will Contractor support interface within price?
Is there a price review mechanism for upgrades and enhancements?
Method of invoicing and invoice details
Liquidated damages daily rate payable by Contractor for late delivery of Equipment by Contractor
Cap on liquidated damages (percentage of Price)
Storage costs payable by OPHS where OPHS solely causes delay in delivery of Deliverables
Daily acceptance delay rate (reflecting interest payable on the Price) payable by Contractor for late acceptance testing (Contractor delays or fails to attend agreed date)
Liquidated damages daily rate payable by OPHS for late acceptance testing (OPHS delays or fails to attend agreed date)
Liquidated damages daily rate payable by Contractor from date of rejection of Deliverable until acceptance of Deliverable or replacement Deliverable
Liquidated damages daily rate payable by Contractor (after delay period below) for delay in repair of Equipment
Repair delay period after which liquidated damages is payable
Agreed Useful life of Equipment
Will there be release of advanced technology within 6 months of order?
Will use of generic consumables invalidate Equipment warranty?
Additional Reports required by Health Service (Clause 28)
Additional Key Performance Indicators (Clause 24)
Rebates for Contractor failing to comply with KPIs (Clause 24.1(a))
Recall process specified by OPHS (Clause 12.6)
Additional Training costs (Clause 34.1(a)(iv))
Special Conditions / Insert any special conditions.
Insert the word “nil” if there are no special conditions.
Documents to be attached and which form part of the Order Contract / Specification, KPIs and Standing offer Terms and conditions between Health Purchasing Victoria and the Contractor.
The parties agree to the supply of the Deliverables described above on the terms and conditions set out in the Agreement executed by Health Purchasing Victoria and the Contractor for the supply of medical imaging equipment and dated [insert date].
Signed on behalf of [insert Ordering Participating Health Service Details] / Signature
Name and title of authorised signatory / insert name and title of signatory
Date of signing / Insert date of signing
In the presence of / Name of witness
Signed / Signature of witness
Address / Address of witness
Signed on behalf of [insert Contractor Details] / Signature
Name and title of authorised signatory / insert name and title of signatory
Date of signing / Insert date of signing
In the presence of / Name of witness
Signed / Signature of witness
Address / Address of witness
Order Contract
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