Queensland Government
Department of Communities

Service Agreement (Part C) – Specifications for Home and Community Care Services 

The Department of Communities (Home and Community Care) Service Agreement comprises three sections:
•	Service Agreement (Part A) - Standard Terms of Funding
•	Service Agreement (Part B) - Specific Terms of Funding
•	Service Agreement (Part C) - Specifications

The Service Agreement (Part C) – Specifications is designed to document:
•	Organisation and service details; 
•	Service description;
•	Funded outputs;
•	Service specific additional conditions (if applicable);and 
•	Reporting requirements. 

Service Agreement (Part C) - Specifications for Home and Community Care Services

The State of Queensland through the Department of Communities

Name of Organisation/ Service Provider		
ABN/ACN		
Organisation number		

Date of Commencement of Service Agreement:	[INSERT DATE]
Date of Expiration of Service Agreement:		[INSERT DATE]

The Service Agreement relates to the service(s) listed in item 2.2 of the Service Agreement.

1	Formation of Service Agreement
1.1	Parts of the Service Agreement 
The following documents form the Service Agreement:
(i)	The Service Agreement (Part A) Standard Terms of Funding http://www.communityservices.qld.gov.au/department/funding/resources/documents/service-agreement-part-a-v1.pdf current as at [INSERT DATE];
(ii)	the Service Agreement (Part B) Specific Terms of Funding http://www.communityservices.qld.gov.au/department/funding/resources/documents/service-agreement-part-b-hacc-v1.pdf,  current as at [INSERT DATE] that specify those terms and conditions specific to Home and Community Care;
(iii)	this part referred to as the Service Agreement (Part C) - Specifications; and
(iv)	any other document agreed in writing by the parties varying or extending the Service Agreement.
1.2	Term of Service Agreement
Date of Commencement of Service Agreement:	[INSERT DATE]
Date of Expiration of Service Agreement:		[INSERT DATE]
2	General
2.1	Funded organisation/Service Provider 
The Service Provider is described in Schedule 1.

The contact details of the Service Provider as listed in the Project Summary Sheet in Schedule 2A.

3	Services
The Services to be provided under the Service Agreement are outlined in Schedules 2A to 2E:
3.1	 Target Group/ Service User 
The Target Group and Service Users for Information, Education & Training Services are referred to in Schedule 2D 
The Target Group and Service Users for Access Point Demonstration Projects are referred to in Schedule 2E. 
The Target Group and Service Users for any other Services are described in Schedule 2A.
4	Delivery of the Services 
4.1	Service Commencement Date
[insert date]
4.2	Milestones
Refer to Schedules  2A & 2B.

5	Exit Strategy 
You must have a plan in place to address what will be done in the event of closure or termination of the Services under the Service Agreement.  

This Exit Strategy may include details on the process that You will employ to cease the Services, arrangements for relevant employees, the continuity of the Services to the Service Users, the handling of records and information in relation to the Services and how the Assets will be dealt with, distributed or transferred. 
 
Where the Service Agreement comes to an end for any reason, the Assets (if any) will be distributed as directed by Us. 

6	Funded activities/outputs, performance measurement and reporting 
6.1	Funded activities/outputs 
The funded activities/outputs are described in Schedule 2B.
For 018 Service Providers the funded activities/ outputs are described in Schedule 2B and Schedule 2D. 
6.2	Performance Reports
For 018 Services, Performance Reports must be completed in the template provided in Schedule 2D. 
For all Services other than 018 Services Performance Reports must be completed in the template provided in Schedules 3A, 3B and 3C. 
For Access Point Demonstration Projects Performance Reports must be completed in the template provided in Schedule 2E. 
Performance Reports are to be submitted to Us, by the dates stated in the table below at the following address:- 

Home and Community Care
Department of Communities
GPO Box 806
BRISBANE  QLD  4001

Or 

Fax: 07 3405 3599

Performance Reports	
Funding Amount	Period	Due Date	
Over $100,000

	1 July – 30 September 	31 October 	
	1 October – 31 December 	31 January 	
	1 January – 31 March	30 April	
	1 April – 30 June	31 July	
 $50,000 - $100,000	1 July – 31 December 	31 January	
	1 January – 30 June	31 July 	
Less than $50,000	1 July – 30 June	31 July	
7	Funding Details
The Funding Details for the Services are described in the Project Summary Sheet and the Special Conditions in Schedules2A, 2B & 2C.
8	Assets 
Funding is provided for Assets as specified in Schedules 2 A, 2B & 2C. 
9	Timing of payments 
Payments of the Funding will be made in advance in accordance with the table below, subject to the lodgement of the reports required by Us under the Service Agreement.

Payment	Payment Due	
We will make payments to You on a quarterly basis. 
	By 31 of July
By 31 of October 
By 31 of January
By 30 of April	

10	Financial statements and reports
You must submit the following statements and reports to Us during the Term of the Service Agreement. Statements and reports will be required for the following periods for each year by the following due dates:

Financial Statement / Report	Period  	Due date 	
Financial Acquittal Report – funding over $100,000	1 July – 30 September 	31 October 	
	1 October – 31 December 	31 January 	
	1 January – 31 March	30 April	
	1 April – 30 June	31 July	
Financial Acquittal Report – funding $50,000 -$100,000	1 July – 31 December 	31 January 	
	1 January – 30 June	31 July	
Annual Financial Return 	1 July – 30 June	30 September	
Audit Report and Audited Financial Statements as specified in the Service Agreement Part A Standard Terms of Funding 8.1 (a) (ii) and Part B Specific Terms of Funding 5 (a) & (b)	1 July – 30 June	30 September	

Financial Acquittal Reports must be completed in the template provided in Schedule 4: Periodic Financial Report Parts 1, 2 and 3.

10.1	Address for financial statements and reports  
All financial statements and reports are to be submitted to the address below:

Home and Community Care
Department of Communities
GPO Box 806
BRISBANE  QLD  4001
Or 
Fax: 07 3405 3599
11	Additional conditions 
You must comply with the additional conditions as specified in Schedule 2C – special conditions. 
12	Departmental Officer
Name		
Position		
Postal address		
Telephone number		
Fax number		
E-mail address		

13	 Attachments 
Attachments	Name	Reference	
Schedule 1	List of Service Providers to which the Service Agreement applies	Service Agreement (Part B) - Specific Terms of Funding  clause 1& 3, and Part C Clause 2.1,	
Schedule 2	Schedules 2A-2E	Service Agreement (Part B) - Specific Terms of Funding  clause 2, 3, 4	
Schedule 2A	Project Summary Sheet	Service Agreement (Part C) clause 2.1, 3.1, 7 and 8	
Schedule 2B	Project Summary Sheet – Service Outputs	Service Agreement (Part C) clause 6.1, 7 and 8	
Schedule 2C	Special Conditions	Service Agreement (Part C) clause 7, 8 and 11	
Schedule 2D	Information, education & training, other (statewide)	Service Agreement (Part C) clause 3.1 and 6.2	
Schedule 2E	Activity Reporting Template for Access Point Services
	Service Agreement (Part C) clause 3.1 and 6.2	
Schedule 3A	Performance Report	Service Agreement (Part C) clause 6.2	
Schedule 3B	Performance Issues 	Service Agreement (Part C) clause 6.2	
Schedule 3C 	Activity Report	Service Agreement (Part C) clause 6.2	
Schedule 4	Periodic Financial Report 	Service Agreement (Part C) clause 10	
Schedule 5	Annual Financial Return Reporting Template	Service Agreement (Part C) clause 10	
Schedule 6	Recipient Created Tax Invoice (RCTI) Agreement 	Service Agreement (Part B) – Specific Terms of Funding clause 1 & 2  	
Schedule 7	Banking Details EFT Application Form	Service Agreement (Part B) – Specific Terms of Funding clause 2.	
Schedule 8	HACC Logo Sub-Licence Agreement 	Service Agreement (Part B) - Specific Terms of Funding  clause 1	

EXECUTED as an Agreement

SIGNED for and on behalf of the STATE OF QUEENSLAND by 

(Name)

(Position)

as a duly authorised officer 
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____________________________________
		Signature

____________________________________
		Signature of Witness
		
___________________________________
		Date

____________________________________
		Name of Witness

			

SIGNED by:

(Name):

(Position)

for and on behalf of 

(Funded Organisation)

 as its duly authorised officer:
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___________________________________
		Signature

	

____________________________________
		Signature of Witness
		
___________________________________
		Date

____________________________________
		Name of Witness

EXECUTION CLAUSE - Company
SIGNED for and on behalf of 

(Name of Corporation)

in accordance with section 127 of the Corporations Act 2001		

	

__________________________________
(signature of director/secretary)		

__________________________________
(signature of director)	

___________________________________
(name of director/secretary)
		
____________________________________
(name of director)

____________________________________
(date)