25-00007 Appendix B.pdf

Washington State Department of Fish and Wildlife Page 1 of 2 RFQ 25-00007 – Bidder Profile (Appendix B)

Request for Quotations (RFQ) No. 25-00007 Project Title: Mission Ridge Geologic Report

Appendix B - Bidder Profile

COMPANY INFORMATION (for Contract administration purposes)

Company Name & Address:

Authorized Representative:

Phone:

Email:

Ordering Address:

Payment Address:

Federal Tax Identification Number WA Dept. of Revenue Registration Number

REFERENCES

Provide a minimum of three (3) commercial or government references for which Bidder has delivered goods and/or services similar in scope as described in the RFQ.

1. Customer:

Contact:

Phone:

2. Customer:

Contact:

3. Customer:

Contact:

Washington State Department of Fish and Wildlife Page 2 of 2 RFQ 25-00007 – Bidder Profile (Appendix B)

References may be used to evaluate the bidder’s history of performance and may be an award consideration on a pass/fail basis. Bidder shall furnish minimum of three (3) references from different entities for which Bidder has performed or provided comparable service, materials, supplies, or equipment similar in scope (i.e. size, volume, type) to this IFB, including entity [name, authorized individual, telephone and email].

WDFW will only attempt to make contact with a Bidder’s provided references a maximum of three (3) times. If such contact cannot be established with any of the references provided, then those references with which contact cannot be established may be deemed non-responsive and no further attempts will be made to contact that particular reference. References giving negative feedback towards the bidder and states an unwillingness to work with the bidder again, may be rejected and therefore fail the responsibility requirement.

WDFW reserves the right to solicit and substitute other references to determine the sufficiency of the Bidder’s level of responsibility.

SUBCONTRACTORS

If applicable, on a separate sheet, identify any subcontractors who will perform services in fulfillment of contract requirements; the nature of services to be performed and include federal tax identification (TIN) number for each subcontractor. If a subcontractor is a minority or women owned business please include their OMWBE Certification Number (if certified). If necessary, attach additional sheets (please stamp or mark each page with a company name, mark, or initial). Do not include any Social Security Numbers.

The contractor, by including subcontractor(s) as part of your signed bid is your agreement to take complete responsibility, contract obligations, and liability for all actions of such subcontractors. All subcontractors are subject to WDFW approval. WDFW reserves the right to approve or disapprove any subcontractor.

SALES/CUSTOMER SERVICE

Purchasing Cards Accepted:

Visa Master Card American Express Discover Other:

MINORITY/WOMEN OWNED BUSINESS STATUS

Is your firm a Minority/Women Owned Business? Yes No

Office of Minority and Women-Owned Business Enterprises MWBE certification #

VETERAN OWNED BUSINESS STATUS

Is your firm a Veteran Owned Business? Yes No

Washington State Department of Veterans Affairs certification #