CONTRACTOR APPLICATION FORM
Note: This form is to be completed in full by prospective contractors who are intending to undertake work for the Agent. The details in
this form will be used to verify the contractor’s details and to determine whether the contractor should be engaged to complete work
from time to time. The Terms and Conditions which follow this application form will apply to any work that the Agent engages the
Contractor to undertake. By signing this form, the Contractor agrees to the attached Terms and Conditions, which will apply each time
if, and when, the Contractor is engaged to provide services.
Should there be an inconsistency between the attached Terms and Conditions and any terms and conditions contained in any work
order received from the Agent, the terms and conditions contained in the work order will prevail.
We recommend that the Agent seeks independent legal advice in relation to this and the Terms and Conditions themselves.
Agent
Landpearl Pty Ltd
Licensee's Licence No.* (see note) 1277113
ABN / ACN 81 104 625 809 GST Registered Yes No
Trading as Landpearl
Address G8, 218 Parramatta Road
HOMEBUSH, NSW Postcode 2140
Phone: Work 02 9283 788 Mobile 0415814929
Email [email protected]
* Note: If the Agent trades as a corporation the licensee's licence number is the corporation's licence number.
Contractor Details:
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Contractor's Name
Company name (if applicable)
Trading as (if applicable)
ABN ACN GST Registered Yes No
Postal Address
Postcode:
Mobile Telephone
AF Contact Name
Mobile Telephone Contact Name
Office Telephone Email
Type of Trade Contractor Licence Number Licence Expiry Date
I/we declare that I/we comply with all work health and safety legislation in NSW. I/we am/are aware of my/our obligations with respect to
safe work method statements and when they are required. Yes No
Banking Details (for direct crediting of payment of invoices):
Account name: Bank:
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BSB: Acct Number:
Note: To reduce instances of fraud, the Agent should telephone you to verbally confirm the above account details.
Insurance Details:
Coverage: Insurer Name: Sum Insured: Policy Number: Expiry Date:
Public Liability $
Professional Indemnity $
Workers Compensation
COPYRIGHT OCTOBER 2023 PAGE 1 OF 3
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. Estate Institute of N.S.W. in whom exclusive copyright vests. FM01070 - 10/23
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CONTRACTOR APPLICATION FORM
Terms and Conditions
1. By submitting this application, the Contractor authorises the 11. The Contractor must ensure that the site is secured (in the same
Agent to undertake due diligence to determine whether the manner it was when the Contractor attended the site) whenever
Contractor may be engaged to undertake work from time to it leaves the site, including once the services are completed.
time.
Payment of Services
2. The submission of this application does not guarantee that the
Contractor will receive work, or a minimum amount of work, from 12. Upon completion of the services, the Contractor shall submit a
the Agent. valid tax invoice for the agreed sum to the Agent.
Engagement of Contractor Statutory Obligations, Insurances and Registrations
3. Where the Agent requires the services of the Contractor, the 13. The Contractor warrants that it will comply with all of its
Agent will issue a work order specifying details of the work statutory obligations in respect of its services, including but not
required, the address of the site and all other information limited to compliance with:
required to allow the Contractor to attend the relevant site. a. any applicable industrial awards and agreements;
4. If the Agent requires a quote before the Contractor commences b. applicable industrial relations and anti-discrimination
work, this will be specified in the work order. The Contractor will legislation; and
not commence work until such time as the Agent has accepted
the quote in writing. c. work health and safety and workers compensation
legislation.
5. The Contractor is responsible for providing, at its cost, all
equipment required in order to carry out the services. 14. The Contractor warrants that it has taken out the insurances
listed on page 1 of this document and will supply a certificate,
6. If the Agent engages the Contractor to provide services, these of currency for each policy upon being requested to do so and
terms and conditions will apply to that engagement of the also upon renewal.
Contractor, including without limitation to the provision of the
services. 15. It is the Contractor’s obligation to maintain those insurances at
any time the Agent seeks to engage the services of the
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7. To the extent of any inconsistency between the Contractor’s Contractor.
terms and conditions (“A”), any terms and conditions contained
in a work order issued by the Agent (“B”), and these terms and 16. The Contractor must advise the Agent in writing should any of
conditions (“C”), the terms and conditions contained in the work those insurance details change at any time.
order (“B”) or these terms and conditions (“C”) (as the case may
be) will prevail. To the extent of any inconsistency between the Indemnity
terms and conditions contained in a work order issued by the 17. The Contractor agrees to indemnify and hold harmless the
Agent (“B”) and these terms and conditions (“C”), the former Agent (as well as each principal for whose benefit the
(“B”) will prevail. Contractor is engaged to provide services) from and against
Relationship of the Parties any and all losses (including without limitation consequential
8.
AF
No relationship other than that of principal and contractor is
losses), liabilities, deficiencies, obligations, costs, damages,
penalties, fines, actions, judgments, suits, claims and expenses
created by the engagement of the Contractor. In particular, no (including, without limitation, reasonable legal costs, charges
relationship of employment, joint venturers or partnership is and disbursements) (“Losses”) arising from or in connection
created. with:
Contractor’s Warranties a. the Contractor’s breach of these terms and conditions (as
9. The Contractor warrants that: well as any other terms or conditions that govern the
provision of the services),
a. the provision of its services will not breach the terms of any b. the Contractor’s (including its officers, employees, agents
other binding arrangement,
and subcontractors) act or omission relating to the services,
b. it will comply with all reasonable time limits imposed by the or
Agent for the performance of its services,
c. death or injury occasioned in, by or in connection with the
c. it will provide its services in a professional and workmanlike performance of the services.
manner, and in accordance with all applicable laws, authority
requirements, standards and codes of practice, and be liable Governing Law
for rectification of any defective work or work that is not 18. This agreement is governed by the laws of New South Wales,
carried out in accordance with the requirements under this and the Contractor submits to the jurisdiction of courts of that
clause 10c, State.
d. it will exercise all reasonable skill, care and diligence to be Privacy
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expected of an appropriately qualified and competent
contractor experienced in carrying out equivalent services, 19. The Contractor must comply, and ensure that its officers,
and employees, agents and subcontractors comply with the Privacy
Act 1988 (Cth) (“the Act”) and must not do anything which, if
e. if it subcontracts part or all of its services, it remains done by the Agent, would breach an Australian Privacy Principle
responsible for the completion of the services. as defined in that Act. The Contractor will notify the Agent if it
becomes aware that it may be required to disclose “Personal
Access Protocols Information” (as defined in the Act) by law or to the Australian
10. Should the tenant or other occupier or authorised person not be Information Commissioner or Privacy Commissioner.
present to allow access, the Contractor will, at its cost, arrange
with the Agent for the collection and return of any keys, access
card, fobs or the like in order to gain access to the site to
undertake the services.
COPYRIGHT OCTOBER 2023 PAGE 2 OF 3
Originated and distributed by and printed and produced for the Real
. Estate Institute of N.S.W. in whom exclusive copyright vests. FM01070 - 10/23
000005784863 WARNING Unauthorised reproduction in whole or in part is an infringement of Copyright. www.reinsw.com.au
CONTRACTOR APPLICATION FORM
CONTRACTOR
Signed, sealed and delivered by the Contractor in favour of the Agent as a deed poll
If Contractor is an individual
I agree to be legally bound by the terms of this agreement even I agree to be legally bound by the terms of this agreement even
if I sign this agreement electronically. if I sign this agreement electronically.
Signature of Contractor/
Authorised Representative Date Signature of Witness Date
Name of Signatory Name of Witness
Authority of Signatory (delete whichever is not applicable)
Power of Attorney/Authority Letter
(attach a copy)
If Contractor is a corporation (to be signed by 2 directors, or 1 director and 1 secretary, or sole director and sole secretary, or authorised officer or Attorney)
I agree to be legally bound by the terms of this document even if I sign this agreement electronically.
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EXECUTED for and on behalf of ACN
pursuant to section 127 of the Corporations Act 2001 (Cth):
Signature of Director/Secretary/ Signature of Director/Secretary/
Authorised Representative Date Authorised Representative Date
Name of Signatory
AF Name of Signatory
Authority of Signatory (delete whichever is not applicable) Authority of Signatory (delete whichever is not applicable)
Director/Secretary/Authorised Officer/ Director/Secretary/Authorised Officer/
Attorney (attach a copy of Power of Attorney Attorney (attach a copy of Power of Attorney
if applicable) if applicable)
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COPYRIGHT OCTOBER 2023 PAGE 3 OF 3
Originated and distributed by and printed and produced for the Real
. Estate Institute of N.S.W. in whom exclusive copyright vests FM01070 - 10/23
000005784863 WARNING Unauthorised reproduction in whole or in part is an infringement of Copyright. www.reinsw.com.au
