2-Attachment A - Respondent Questionnaire (RFP).docx
DOCX document 64 KB Posted
- Attached to
- Flexible Spending Account
- Solicitation number
- 547838
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a Respondent Questionnaire attachment to a Request for Proposal (RFP) issued by the City of Detroit Office of Contracting and Procurement (OCP) on behalf of the Detroit Human Resources Department for Flexible Spending Account administration services. The RFP seeks qualified respondents to provide end-to-end administration for Health Care Flexible Spending Accounts (HC FSA), Dependent Care Flexible Spending Accounts (DC FSA), and Commuter Benefits programs including Transit and Parking. The questionnaire requires respondents to provide detailed organizational information, including single points of contact, firm background details such as legal business name, business entity designation, FEIN, years in business, employee counts, and Detroit resident employment data. Respondents must document at least three relevant prior experiences from the last five years that demonstrate capability to manage contracts of similar size and scope, providing comprehensive reference information for each project. The document also addresses subcontractor involvement, requiring disclosure of any proposed subcontractors' qualifications and prior experience working with the respondent.
The questionnaire mandates that respondents demonstrate organizational capacity through staffing documentation, including organization charts, key personnel resumes, dedicated employee quantities, and relevant experience of listed staff members. Respondents must disclose any claims, lawsuits, or contract terminations within the past ten years, identify any debarred or suspended individuals or entities with financial interest in the company, and confirm compliance with the City of Detroit's debarment list. The document includes a Priority Hire Agreement option requiring respondents to commit to prioritizing Detroit residents for project employment and specifying credentials or training for new hires. Additionally, respondents must disclose whether their proposed solution involves Artificial Intelligence or plans to implement it within five years.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-Functional and Technical Req - Flexable Spending Acct.xlsx | XLSX spreadsheet | |
| 8-547838 RFP Flex Spending.pdf | ||
| 1-Attachment B - Respondent Proposal Introduction and Solution Approach.docx | DOCX document | |
| 6-Attachment D-1 Required Forms Affidavits.pdf | ||
| 5-Attachment C - Pricing.docx | DOCX document | |
| 4-3.17.26 UPDATED TECH CONTRACT TEMPLATE (NO AI) (1).docx | DOCX document | |
| 7-Attachment D-2 Conditions of Award.pdf |
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Text version
City of Detroit Office of Contracting and Procurement (OCP) Request for Proposal – #547838 Flexible Spending Account
Attachment A – Respondent Questionnaire
PART 1 – RESPONDENT EXPERIENCE / ORGANIZATION
1. Respondent’s Contact Information
Complete the following table for your Sole Point of Contact During RFP Process.
| Single Point of Contact for RFP |
| Respondent Response |
a. Name
b. Title
c. Address
d. E-mail
e. Phone Number
Complete the following table for your firm’s Partner and or Manager(s) that will be in charge of this project if awarded.
| Partner and or Manager Contact Details |
| Respondent Response |
a. Name
b. Title
c. Address
d. E-mail
e. Phone Number
2. Respondent Background Information
Complete this table with your background information. Proposals by a partnership or joint venture shall list the full names and addresses of all parties to the joint venture by completing this table for all parties.
Respondent Response
a. Full legal business name.
b. Full legal business address of the firm’s principal place of business and, if different, the location of the place of performance of the contract.
c. Business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.
d. Current tax status and Federal Employer Identification Number (FEIN) (if applicable).
e. State company was formed in.
f. Company phone number.
g. Website address (if applicable).
h. Number of years in business.
i. Average number of employees during each of the last three (3) years.
j. Number of Detroit residents employed currently
k. Number of Detroit residents that would be working on this project, if awarded.
l. Number of new hires projected, if awarded.
| m. Would you be willing to sign a Priority Hire Agreement with Detroit at Work to prioritize hiring Detroit residents for this project (see sample agreement in Public Files)? |
| ___Yes |
___No ___Not Applicable
a. If yes, what specific credentials/training would be provided to new hires
n. Does your company have experience working with the City of Detroit? If so, please list the contracts you hold or have held with the City of Detroit for the last 5 years.
o. Identify any claims or lawsuits that have been brought against your organization as a result of any services provided within the last ten (10) years.
p. Identify any projects in which your contract was terminated for any reason.
q. Disclose the full legal names of any individuals or entities with any personal or financial interest in your company or any proposed subcontractors or suppliers who are currently or have ever been debarred or suspended by the City of Detroit, any Federal Agency, any State Agency or any sub-state public entity.
| r. Disclose whether your proposed solution involves the use of Artificial Intelligence, or will within the next five (5) years. |
| ___Yes |
___No
3. Prior Experience (Respondent) Describe at least three (3) relevant experiences from the last five (5) years supporting your ability to successfully manage a contract of similar size and scope for the work described in this RFP, by completing the table(s) below.
| Reference Form #1 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided, including how the services are similar in size and scope to the RFP requirements
j. Identify respondent’s key personnel that worked on this project
| Reference Form #2 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided including how the services are similar in size and scope to the RFP requirements
j. Identify respondent’s key personnel that worked on this project
| Reference Form #3 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided including how the services are similar in size and scope to the RFP requirements
j. Identify respondent’s key personnel that worked on this project
4. Respondent’s Subcontractor(s) Prior Experience (if applicable)
| Question |
| Respondent Response |
a. Do you intend to utilize any subcontractors?
If yes, provide their legal business name and address, and a description of the goods/services they will supply. Also complete the Subcontractor Reference Form provided below for each subcontractor.
Has Respondent ensured proposed subcontractor(s) are not on the City of Detroit’s list of debarred and suspended suppliers?
No debarred contractor is eligible to serve as a subcontractor or as a goods, services or materials supplier for any contract. https://detroitmi.gov/government/office-inspector-general/debarment-information
Subcontractor’s Legal Business Name
Subcontractor’s Business Address
Description of goods/services to be provided by the Subcontractor
Percentage of work to be completed by Subcontractor
Number of Similar Projects the Respondent and Subcontractor have completed together
Description of Similar Projects the Respondent and Subcontractor have completed together
If applicable, describe below at least one (1) relevant experience from the last five (5) years supporting your subcontractor’s ability to successfully perform similar work as set forth in your company’s proposal.
| Subcontractor Reference Form |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided, including how the services are similar in scope and scale to the RFP requirements
PART 2 – RESPONDENT CAPACITY
5. Respondent Capacity and Staffing
[Read and delete: review questions and include this table if you are seeking details on staffing.]
The Respondent must submit documentation indicating their capacity to perform the variety of services described in this RFP. Documentation should indicate, at a minimum, the following:
a. Respondent shall provide an organization chart indicating the key personnel who will provide services resulting from this RFP.
b. Respondent shall provide a resume for each of the key personnel who will provide services resulting from this RFP.
[Read and delete: These capacity questions are additional examples from RFP’s to consider using or modifying. Delete those that are not applicable to your RFP]
c. Respondent shall indicate the quantity of employees that can be dedicated these services.
d. Respondent shall indicate the experience and of listed employees.
Revised 4/17/2026 image1.png
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