2-26-46 Exhibit B - Vendor Response.pdf

EXHIBIT B – VENDOR’S RESPONSE

EXHIBIT B – THE FOLLOWING ADDITIONAL REQUIREMENTS ARE TO BE

SUBMITTED WITH YOUR RFP RESPONSE:

• BID TABLE (Price)

**Vendors must fill out the forms provided below as their response.

• VENDORS GENERAL EXPERIENCE & QUALIFICATIONS

• LIST PROJECTS

• VENDOR’S CURRENT WORK SCHEDULE/RECORD

• THE RESPONDENT’S EXPERIENCE AND REPUTATION AND THE QUALITY OF THE

RESPONDENT’S GOODS OR SERVICES

• THE RESPONDENT’S SAFETY RECORD

• THE RESPONDENT’S PROPOSED PERSONNEL

• FINANCIAL STATEMENTS

• VENDOR LITIGATION, CLAIMS, REPUTATION & COMPLIANCE

• ANY OTHER RELEVANT FACTOR SPECIFICALLY LISTED IN THE REQUEST FOR BIDS,

PROPOSALS OR QUALIFICATIONS.

• SIGNED ADDENDA (IF APPLICABLE)

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BRAZORIA COUNTY

BID TABLE

VENDOR TO INSERT COMPLETED BID TABLE HERE

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VENDOR TO INSERT RESPONSE HERE

(Include the information below in the specified order)

VENDOR’S GENERAL EXPERIENCE & QUALIFICATIONS

General Contractors Name:

I. General

a. Qualification information submitted shall be applicable only to the company entity or branch that will perform this Work.

b. Submit list of other fully staffed branch offices

c. Submit list of corporate officers, partnerships or owners of organization

II. History

a. Please specify:

__ Corporation – State of Incorporation

__ Partnership

__ Sole Proprietorship

__ Joint Venture

b. Specify: In continuous business since:

c. Specify:

__ Large Business (100 or more employees)

__ Small Business (fewer than 100 employees)

__ Other

III. Experience

a. Normally performs ______% of work with own forces.

b. Additional work for this project will be done with the following trades.

i. List Trades

(additional attachments as required)

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VENDOR QUALIFICATIONS

List Projects

(Similar Projects in Size and Scope Completed in Last Five Years)

Project Municipality $ Amount Type Date

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VENDOR’S CURRENT WORK SCHEDULE/RECORD

I. Current Work Schedule

a. List major projects your organization has in-progress using the format below:

Name & Location of

Project

Contract $ % Complete Projected Completion

Date

Owner Contact

And Phone

b. Total number and dollar amount of contracts currently in progress:

Number $

c. Largest single contract amount currently in progress:

Project Name:

Projected Completion Date:

Dollar Amount $

II. Past Record

a. List major projects of our organization has completed in the last 5 years with completion dates and references.

Name & Location of Project Contract $ Date Completed Owner Contact and Phone

b. Volume of work completed over each of the last 5 years:

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• THE RESPONDENT’S EXPERIENCE AND REPUTATION AND THE QUALITY OF THE

RESPONDENT’S GOODS OR SERVICES

Provide references for the services under consideration. Preference is to contracts similar in scope as stated in the

ITB.

1. Name of government or agency:___________________________________________

Address:______________________________________________________________

Contact Name:_________________________________________________________

Phone Number:________________________________________________________

$ amount of project / contract:____________________________________________

Contract / Project dates:________________________________________________

2. Name of government or agency:___________________________________________

Address:______________________________________________________________

Contact Name:_________________________________________________________

Phone Number:________________________________________________________

3. Name of government or agency:___________________________________________

Contact Name:_________________________________________________________

Phone Number:________________________________________________________

4. Name of government or agency:___________________________________________

Contact Name:_________________________________________________________

Phone Number:________________________________________________________

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• THE RESPONDENT’S SAFETY RECORD

I. List your organization's Workers Compensation Experience Modification Rate (EMR) for the last five years, as obtained from your insurance agent.

II. Complete the matrix below for the last five years, as obtained from OSHA No. 200 Log:

2025 2024 2023 2022 2021

Number of injuries & illnesses

Number of lost time accidents

Number of recordable cases

Number of fatalities

Number of employee direct hire fixed hours

(round to 1,000's)

III. Please answer the following questions regarding your safety program

a. Are regular project safety meetings held for Field Supervisor(s)?

__ yes

__ no

If yes, frequency:

__ weekly

__ bi-monthly

__ monthly

__ as needed

b. Are project safety inspections conducted?

If yes, who performs inspections?

How often?

Who is required to attend?

c. Does your organization have a written safety program?

If yes, provide a copy. It will become a compliance document upon contract award.

d. Does your organization have a safety orientation program for new employees?

For employees promoted to Field Supervisor?

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If yes, does your Supervisor Safety Program include instructions on the following:

Safety work practices __ yes __ no

Tool box safety meetings __ yes __ no

First aid procedures __ yes __ no

Accident investigation __ yes __ no

Fire protection __ yes __ no

New worker's orientation __ yes __ no

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• THE RESPONDENT’S PROPOSED PERSONNEL

I. Superintendent & Project Manager Information

a. Resumes of key personnel shall also be included. Professional affiliations, memberships, and certifications for each of the key personnel must be included and will be used to evaluate the proposed team and personnel.

Project Manager Years Experience Projects

Superintendent Years Experience Projects

Scheduler Years Experience Projects

Quality Control Person Years Experience Projects

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INSERT FINANCIAL STATEMENTS HERE

CURRENT AND PRIOR 2 YEARS

Vendors are to include their financial statements for review to ensure that the company has the financial capacity to perform and to continue to perform its obligations under the contract if the company is awarded the contract.

As part of the solicitation response, to deem your submission as responsive for the committee to evaluate and score, the County is requiring the financial statements in order to minimize potential issues from contracting with a vendor that is financially unstable.

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VENDOR LITIGATION, CLAIMS, REPUTATION & COMPLIANCE

I. Please answer the following questions

a. Has your firm ever defaulted, been declared to be in default, or failed to complete any work awarded?

__ yes

If yes, stipulate where and why:

b. Has your firm ever paid (or had withheld from payment) liquidated damages for failure to complete a contract on time?

__ yes

c. Has your organization ever been charged with or paid a fine for non-compliance of State and/or

Federal statutes or regulations?

__ yes

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II. List pending claims and/or litigation against or involving project owners at time of submitting Proposal.

Show project name, owner and summary explanation.

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SIGNED ADDENDA (IF APPLICABLE)

VENDOR TO INSERT SIGNED ADDENDA HERE

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