CURRAGH - Supplier Registration

Supplier Registration

Coronado Curragh Pty Ltd
By requesting to be a vendor with Coronado, the organisation accepts Coronado Curragh Purchase Order Terms and Conditions - refer Section 6 (note that the Standard Purchase Order Terms and Conditions may change from time to time).*

YesNo
Were you directed by a Coronado representative to register as a supplier?*

YesNo
Please provide the name of your Coronado representative
If you selected Yes to question above
1. Company Details
Registered Business Name (as per invoice)*
Country
ABN | Tax Registration Number | International Tax Number*
Organisation Type

Foreign CompanyGovernment AgencyPartnershipSole Trader
Please confirm insurances held by your Organisation.

Motor Vehicle Insurance (supporting documents are required)Does the Motor Vehicle Insurance include Public Liability of $20M? (supporting documents are required)Public Liability Insurance of minimum $20MProfessional Indemnity InsuranceQueensland Workers Compensation Insurance (Supporting documents are required)Other State Workers Compensation Insurance - state if this insurance will cover Queensland workers at Coronado Curragh Complex
Attach, tax, insurance and other relevant documents

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2. Contact Details

Communications will be sent to this contact
Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Organisation Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is this address used for (select at least 1 purpose)*

Receive Purchase OrderReceive PaymentsBid on RFQs
3. Business Classification
Select a classification or confirm that none are applicable*

Donation-SponsorshipsGovernmentIndigenous OwnedInternational CompanyLabour Hire LicenceMarketingModern SlaveryNot for ProfitNone are applicable
Is your business registered as an Indigenous-owned corporation?

YesNo
If yes, please provide your Indigenous Corporation Number (ICN)
Is 50% of your business Aboriginal / Torres Strait Islander-owned?

YesNo
4. Bank Details

	Bank Account Details
Account Name
BSB
Account Number
SWIFT / IBAN
Bank Name
Currency

Attachments of evidence required for Bank Details (provide one of the following):*

Copy of void bank deposit slip (supporting documents are required)Copy of top section of the relevant bank accounts statement (supporting documents are required)Bank account details on company letterhead with original (wet) signature authorised by Chief Finance Officer, Owner or a Director
Bank details file upload*

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5. Questionnaire
Are you registered for GST?*

YesNo
Does your organisation commit to accept Purchase/service orders electronically with Coronado Curragh and accept payment by EFT?*

YesNo
Provide details of your organisations branch locations
Is the organisations Capability Statement attached?

YesNo
Organisation Capability Statement

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What are your organisations core competencies?
Provide details of your organisations geographical coverage
Is the Company Organisation Structure attached?

YesNo
Company Organisation Structure

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Detail your top five (5) customers
Detail your top five (5) suppliers
Are you a small business?*

YesNo
Total number of employees employed by your organisation*
Is you organisation free from ever being placed into administration (current and/or previous names)?*

YesNo
Is your organisation free from any threatened liquidation, wind up proceedings or pending investigation, enquiry, complaint, claim, prosecution or other legal or administrative proceedings relating to any of the above policies and/or non-compliance therewithin or any other failure to maintain, implement and/or adhere to appropriate policies (current or previous names).*

YesNo
Has your organisation traded continuously and without interruption since registration?

YesNo
Is your organisation required to hold a Labour Hire Licence?

YesNo
This organisation has reviewed and acknowledges the Curragh Anti-Corruption Expectations for Business Partners and agrees to abide by these requirements (refer Section 6).*

YesNo
This organisation agrees to at all times comply with all applicable Laws relating to anti-bribery, and improper payments, anti-slavery and human trafficking laws including but not limited to the Criminal Code Act 1995 (Cth) (Australia), the Foreign Corrupt Practices Act 1977 (United States), and the Bribery Act 2010 (United Kingdom), the Modern Slavery Act 2018 (Cth) and the Modern Slavery Act 2018 (NSW)? (refer Section 6).*

YesNo
Do you acknowledge and agree not to commence working on site, nor provide any goods or services until you receive a valid Contract and/or Standard Purchase Order?*

YesNo
Does this organisation agree to work under the relevant business unit's Safety & Health Management System (SHMS) within the Curragh complex?*

YesNo
Are your goods or services intended to be carried out at a Coronado Mine Site now or in the future?*

Yes - OnsiteNo - OffisteBoth
Does your organisation primarily provide services (including fabrication) or goods?*

GoodsServicesGoods and Services
What service type could you potentially provide to the Coronado Mine Site?

Non Mining or non construction contractor: Delivery drivers, office equipment service contractors, catering contractors.Labour hire contractor: Supplementary labour, Consultants (non hazardous activities).Specialised contractors (defined scope of work): Specialised electrical and mechanical maintenance, Major equipment shutdowns, Minor construction activities, Expert advice and service related to hazards (eg. geo tech, electrical engineering, designers).Major project: Discrete projects separated from the operation (eg. early works, contract operation, majorconstruction works).
Which business unit will your goods or services be supplied to?*

Curragh North Open CutCurragh South Open CutMammoth Underground
6. Referenced Documents
Anti Corruption Policy

Code of Conduct and Business Ethics Policy

Curragh - Standard Purchase Order Terms and Conditions
Should be Empty:

Supplier Registration

1. Company Details

2. Contact Details

3. Business Classification

4. Bank Details

5. Questionnaire

6. Referenced Documents