2-Profile Of Firm Form.doc
DOC document 53 KB Posted
- Attached to
- 407 Foulk Road Renovation
- Solicitation number
- BD26003
- Issued by
- New Castle County, Delaware
About this file
This is a Profile of Firm Form issued by the Wilmington Housing Authority in Delaware for a small purchase quotation related to the 407 Foulk Road Renovation project. The form must be completed and submitted by vendors after notification by the agency following the submittal deadline. The form applies to both prime contractors and subcontractors and requires comprehensive company information including establishment dates, principal ownership details, and identification of project managers and supervisory personnel who will work on the renovation project.
The form requires submission of detailed documentation regarding firm ownership, including diversity certifications for Resident-Owned Businesses (RBE), Minority-Owned Businesses (MBE), and Woman-Owned Businesses (WBE). Vendors must provide federal and state tax identification numbers, local business licenses, and documentation of required insurance coverage including workers' compensation, general liability, and professional liability insurance with policy numbers and expiration dates. The Delaware Affordable Housing Group is seeking qualified, licensed, and insured vendors to perform a complete renovation of 407 Foulk Road according to project drawings. While specific pricing terms, response deadlines, and contract duration are not detailed in this form, all vendors must demonstrate current insurance coverage and maintain active business licenses in Delaware to be considered for this renovation project.
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Text version
Quotation for Small Purchase (QSP)
PROFILE OF FIRM FORM
(This Form must be fully completed and submitted to the Agency when notified to do so by the Agency after the submittal deadline.)
(1) Prime ( Sub-contractor ( (This form must be completed by and for each).
(2) Name of Firm:
Telephone:
Fax:
Email:
(3) Street Address, City, State, Zip:
(4) Please attached a brief biography/resume of the company, including the following information: (a) Year Firm Established; (b) Year Firm Established in Delaware; (c) Former Name and Year Established (if applicable); (d) Name of Parent Company and Date Acquired (if applicable).
(5) Identify Principals/Partners in Firm (submit under Tab No. 5 a brief professional resume for each):
| NAME |
| TITLE |
| % OF OWNERSHIP |
(6) Identify the individual(s) that will act as project manager and any other supervisory personnel that will work on project; please submit under Tab No. 5 a brief resume for each. (Do not duplicate any resumes required above):
| NAME |
| TITLE |
(7) Bidder Diversity Statement. You must mark all the following that apply to the ownership of this firm and enter where provided enter the correct percentage (%) of ownership of each:
( Caucasian
( Public-Held
( Government
( Non-Profit
American (Male) Corporation
Agency
Organization
Resident- (RBE), Minority- (MBE), or Woman-Owned (WBE) Business Enterprise (Qualifies by virtue of 51% or more ownership and active management by one or more of the following):
(Resident- (African (Native (Hispanic (Asian/Pacific (Hasidic (Asian/Indian
Owned* American American American American Jew American
(Woman-Owned (Woman-Owned (Disabled (Other (Specify):
(MBE) (Caucasian) Veteran
WMBE Certification Number:
Certified by (What Agency):
(NOTE: A CERTIFICATION/NUMBER IS NOT REQUIRED TO PROPOSE – ENTER IF AVAILABLE)
(8) Federal Tax ID No.:
(9) Local Business License No. (if applicable):
(10) State of Delaware License Type and No. (if applicable):
(11) Federal License Type and No.:
(12) Worker’s Compensation Insurance Carrier:
Policy No.:
Expiration Date:
(13) General Liability Insurance Carrier:
Policy No.
Expiration Date:
(14) Professional Liability Insurance Carrier (if applicable):
Policy No.
Expiration Date:
Signature
Date Printed Name Company
WILMINGTON HOUSING AUTHORITY, DE
File details come from the government source that posted it. Updated .