1-City of Dallas - Business Information Form - (OPS-FRM-2128).pdf

PDF 183 KB Posted

Attached to
Architectural and Engineering Services RFQ
Solicitation number
CIZ26-AVI-3220
Issued by
Dallas County, Texas

About this file

This is a Business Information Form (OPS-FRM-2128) used by the City of Dallas Office of Procurement Services for vendor registration in connection with an Architectural and Engineering Services Request for Qualifications. The RFQ seeks to establish a two-year short-list of pre-qualified architecture and engineering consultants to support the City of Dallas Department of Aviation across its aviation facilities. The form requires vendors to provide comprehensive business information including legal entity structure, tax identification numbers, DUNS numbers, ownership and officer details, and the length of time the business has been operating. Vendors must disclose any litigation adverse to the City or ongoing criminal investigations involving the business or its principals, with detailed explanations required if either condition exists.

The form includes provisions regarding cooperative purchasing, allowing other governmental entities to participate in the contract under identical terms, conditions, specifications, and pricing, with each entity responsible for its own ordering and payment obligations separate from the City. Vendors must acknowledge compliance with the City of Dallas Environmental Policy through the designated link. The form does not contain specific pricing information, set-asides, or award dates, as it functions as a qualification and registration document rather than a pricing schedule. Completion of this form is a prerequisite for vendor consideration in the architecture and engineering services selection process.

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Text version

OFFICE OF PROCUREMENT SERVICES

BUSINESS INFORMATION FORM

OPS-FRM-2128 3/23/2022

Rev. 12.14.2021 Page 1 of 1

LEGAL NAME AND ADDRESS OF BUSINESS

Please Do Not Use All Caps

Business Name:

Parent Company:

Street Address, City, State, Zip:

County:

Contact Name: Contact Telephone No.:

Contact E-mail Address:

FORM OF BUSINESS ENTITY (please check one) ☐ Texas Corporation ☐ Texas Professional Corporation ☐ Texas Non-profit Corporation

☐ Texas General Partnership ☐ Texas Limited Partnership ☐ Texas Limited Liability Company

☐ Out-of-State Corporation State of Incorporation: ☐ Profit ☐ Non-profit ☐ Out-of-State Partnership State of Legally Registered Partnership:

☐ Individual Doing Business As:

☐ Other:

Tax Identification No.: Texas Tax ID No.: DUNS No.:

Length of time in business:

1) Is your business or any of its principals currently involved in litigation adverse to the City? ☐ YES ☐ NO

2) Is your business or any of its principals under criminal investigation? ☐ YES ☐ NO Have you answered YES to either Question 1 or Question 2 above? Please provide the details outlining the situation on a separate document with the submission of this form.

OWNER(S) / OFFICER(S) OF THE COMPANY

Name: Title:

Name and title of person(s) legally authorized to sign contracts:

COOPERATIVE PURCHASING (please check one) Should other governmental entities decide to participate in this contract, would you, the vendor, agree that all terms, conditions, specifications, and pricing would apply? ☐ YES ☐ NO If you checked “YES,” the following will apply:

• Governmental entities utilizing Inter-Governmental Contracts with the City of Dallas will be eligible, but not obligated, to purchase material/services under a contract(s) awarded as a result of this solicitation.

• All purchases by governmental entities, other than the City of Dallas, will be billed directly to that governmental entity, and paid by that governmental entity.

• Each governmental entity will order its own material/services, as needed. The City of Dallas will not be responsible for another governmental entity’s debts.

ENVIRONMENTAL POLICY (please check) ☐ YES, I acknowledge and agree to comply with the City’s Environmental Policy found at the following link:

https://dallascityhall.com/departments/OEQ/Pages/contractors.aspx https://dallascityhall.com/departments/OEQ/Pages/contractors.aspx

Business Name:
Parent Company:
Street Address City State Zip:
County:
Contact Email Address:
Texas Corporation: Off
Texas General Partnership: Off
OutofState Corporation: Off
OutofState Partnership: Off
Individual Doing Business As: Off
Other: Off
Texas Professional Corporation: Off
Texas Limited Partnership: Off
State of Incorporation:
Texas Nonprofit Corporation: Off
Texas Limited Liability Company: Off
Profit: Off
Nonprofit: Off
State of Legally Registered Partnership:
undefined:
undefined_2:
Length of time in business:
1 Is your business or any of its principals currently involved in litigation adverse to the City: Off
2 Is your business or any of its principals under criminal investigation: Off
Name Title_2:
Name Title_3:
Name Title_4:
Should other governmental entities decide to participate in this contract would you the vendor agree that all terms: Off
YES I acknowledge and agree to comply with the Citys Environmental Policy found at the following link: Off
Name Title:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:
Text7:
Text8:
Text9:

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