THIS AGREEMENT is made the date day of month 2005BETWEENUNIVERSITY OF TASMANIAABN 30 764 374 7822 Churchill Ave, Sandy Bay Tasmania 7005ANDInsert Partnership Name T/A insert business nameABN insert ABNinsert business addressTHIS AGREEMENT is constituted by the following documents which are, as indicated below, either bound together with this cover sheet or incorporated by reference. Copies of the incorporated documents may be obtained from :1.Tender documents as detailed in attached list entitled “Tender Documents”;2.Terms and conditions of Australian Standard No incorporated by reference;3.Annexure to Australian Standard No attached;4.Specifications as attached and endorsed * incorporated by reference and detailed in attached list entitled “Specifications”;5.Drawings as attached and endorsed * incorporated by reference and detailed in attached list entitled “Drawings”;EXECUTED AS AN AGREEMENTSIGNED on behalf of the UNIVERSITY OF TASMANIA by its duly authorised officerIn the presence of SignaturePrint NameOffice.SignaturePrint NameOfficeSIGNED by the partners of insert name of partnership in the presence of Signature of WitnessPrint NameAddressSignature of Partner No 1Print NameSignature of WitnessPrint NameAddressSignature of Partner No 2Print Name