Expression of Interest

Are you seeking to supply goods and services to Albemarle’s Kemerton Lithium Processing Plant? Through staged commissioning into production and future operations, we are seeking suppliers to be a part of our journey. We encourage local businesses to register their interest via the Expression of Interest form below.

We are committed to the Australian Industry Participation Plan and seek to engage local suppliers where possible. We look forward to hearing from you.

Business Information

Business Name *

Trading Name *

ABN *

Registered Business Address *

Suburb *

State *

Post Code *

Business Size * (Permanent & Contract Staff)

Website *

Business Type *

Local Office Address * (if different than Registered Business Address)

Suburb *

State *

Post Code *

Year Established *

Annual Turn Over * - last financial year in AUD (Australian Dollars)

Contact Name *

Company Position *

Contact Email *

Contact Phone *

Package / Scope Information

Contract Type *

Category Type *

Category Description *
What good and/or services do you offer that may be of benefit to Albemarle?

Key Clients

Please provide at least 3 client contacts.

Client

Client Contact Details
(Client Name, Position and Contact Number)

Commencement Date

+ Add

Insurances

Insurance Type

Insurer

Policy No

Amount

Expiry Date

Workers Compensation

Public Liability

Professional Indemnity

Motor Vehicle

Management System Status

Please describe the systems you have in place, including any external certification or auditing processes.

Occupational Health Safety & Rehabilitation

Environmental and Waste Management

Quality Assurance

Other licenses and Registrations

Additional Supporting Comments

What particular characteristics makes your business suitable to supplying to the Kemerton Lithium Processing Plant? *

Uploads

Capability Statement (optional)

Other Optional Files

File Description (optional)

File (optional)

File Description (optional)

File (optional)

File Description (optional)

File (optional)

Form Completed By

Name *

Date *

Position *

Email *

Phone *

I declare that the answers submitted in this questionnaire are correct. I understand that the information will be used by Albemarle Corporation as an initial screening process to determine the suitability of my business to progress to the supplier pre-qualification process. *

If you experience technical difficulties in completing this form, please email kemertoncontracting@albemarle.com.