28723 ExhibitA2-Bidder'sProfile.docx

EXHIBIT A2 – BIDDER’S PROFILE

Type/print full legal name of Bidder

BIDDER INFORMATION

BIDDER’S LEGAL NAME & ADDRESS

Provide Bidder’s legal name and address in the space provided:

Note: This information must match the information from Bidder’s Business License.

Business Name Address City, State, Zip Code

BIDDER’S UNIFIED BUSINESS IDENTIFIER (“UBI”) NUMBER

Does Bidder have a Registration Number/Unified Business Identifier (“UBI”) Number issued by the Washington State Department of Revenue (check applicable box)?

Note: A nine (9) digit UBI number is assigned to each registered business in Washington.

Yes |_| No |_| If yes, provide Bidder’s UBI Number: ___ ___ ___ If no, state whether Bidder promptly will obtain a UBI Number issued by the Washington State Department of Revenue if designated as an Apparent Successful Bidder:

Yes |_| No |_| Note: To be eligible for a Contract award, bidders must have a UBI Number issued by the Washington State Department of Revenue.

BIDDER’S TAXPAYER IDENTIFICATION NUMBER (“TIN”)

Provide Bidder’s TIN in the space provided:

Note: Bidder’s TIN will be either a number issued by the IRS (e.g., Employer Identification Number, Federal Tax Identification Number) or a number issued by the Social Security Administration (i.e., Bidder’s Social Security Number(“SSN”)). If Bidder’s TIN is a SSN, do NOT provide the SSN; simply state ‘TIN is Bidder’s SSN’ in the space provided.

OMWBE CERTIFIED BUSINESS

Is Bidder certified as a minority or woman owned business with the Washington State Office of Minority & Women’s Business Enterprises (“OMWBE”) (check applicable box)?

Yes |_| No |_| If yes, provide Bidder’s OMWBE certification no.: ____________

SELF-CERTIFIED WASHINGTON SMALL BUSINESS

Is Bidder a self-certified Washington State Small Business?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington State Small Business.

Note: Regardless of size, a qualifying business must be owned and operated independently from all other businesses. In regard to size, the gross revenue thresholds, as reported on Bidder’s tax returns, are as follows:

· Microbusiness: Annual gross revenue of less than one million dollars.

· Minibusiness: Annual gross revenue of more than one million dollars, but less than three million dollars.

· Small Business: Annual gross revenue of less than seven million dollars over each of the three prior consecutive years.

Yes |_| No |_| If yes, provide the location for Bidder’s principal place of business:

Street Address City, State, Zip Code If yes, what is Bidder’s business size (based on annual gross revenue)?

Bidder does NOT qualify as a Small Business based on annual gross revenue, however DOES qualify as a Small Business based on the number of Bidder’s employees (50 or fewer):

Small Business (50 or fewer employees) |_|

CERTIFIED VETERAN-OWNED BUSINESS

Is Bidder certified as a Veteran-Owned Business with the Washington State Department of Veteran Affairs?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Certified Veteran-Owned Business.

Yes |_| No |_| If yes, provide Bidder’s WDVA certification no.: _____________

CONTRACT MANAGEMENT POINTS OF CONTACT FOR BIDDER

Authorized Representative Name:

Email:

Phone:

Contract Administrator Name:

Email:

Phone:

Sales Reporting Representative Name:

Email:

Phone:

Sales Reporting Alternate Name:

Email :

Phone:

Management Fee Representative Name:

Email:

Phone:

Management Fee Contact Alternate Name:

Email:

Phone:

Address for Enterprise Services to send management fee invoices:

Company name:

Attn:

Address:

City/State/Zip:

Email:

Address for Enterprise Services to send legal notices:

Company name:

Attn:

Address:

City/State/Zip:

Email: _

Signature Authority (if awarded a contract) Name:

Title:

ORDERING/SALES POINTS OF CONTACT FOR EACH specified region bid (expand as necessary)

INVOICING POINTS OF CONTACT FOR EACH specified region bid (expand as necessary)

EMERGENCY AFTER HOUR POINTS OF CONTACT FOR EACH specified region bid (EXPAND AS NECESSARY) Provide a minimum of two (2) Region Contacts

L&I REPORTING CONTACT FOR EACH specified region bid (expand as necessary)

INVOICING ESCALATION POINTS OF CONTACT FOR EACH specified region bid (expand as necessary). Provide a minimum of two (2) Region Contacts

ELEVATOR SERVICES ESCALATION POINTS OF CONTACT FOR EACH specified region bid (expand as necessary) Provide a minimum of two (2) Region Contacts

QUARTERLY LISTENING SESSIONS FOR EACH specified region bid (expand as necessary) Provide a minimum of two (2) Staff Attendees: Senior Management and Invoicing Executive representative

Olympic #1 Senior Mgt.

Olympic #2 Invoicing Executive Representative

Olympic #3

Northwest #1 Senior Mgt.

Northwest #2 Invoicing Executive Representative

Northwest #3

Southwest #1 Senior Mgt.

Southwest #2 Invoicing Executive Representative

Southwest #3

S. Central #1 Senior Mgt.

S. Central #2 Invoicing Executive Representative

S. Central #3

N. Central #1 Senior Mgt.

N. Central #2 Invoicing Executive Representative

N. Central #3

Eastern #1 Senior Mgt.

Eastern #3

SENIOR LEVEL MANAGEMENT OR HIGHER FOR EACH specified region bid (expand as necessary) Provide a minimum of two (2) Senior Level Management Contacts

REFERENCES

Provide at least one (1) reference for each of three (3) different contracts for which Bidder has provided/performed goods and/or services similar in scope to the goods/services described in the above-referenced Competitive Solicitation. Note: It is Bidder’s obligation to ensure that the contact information for Bidder’s references is accurate and current. Bidders should alert their references to respond promptly to reference checks.

REFERENCE 1

Company Name:

Contact:

Phone:

Email:

REFERENCE 2

Company Name:

Contact:

Phone:

Email:

REFERENCE 3

Company Name:

Contact:

Phone:

Email:

PURCHASE CARDS (I.E., CREDIT CARDS)

Please indicate which types of purchasing (credit) cards are accepted (note: any card fees must be included in the unit price of the bid):

|_| Visa |_| Master Card |_| American Express |_| Discover |_| Other:

Return this Bidder’s Profile to Procurement Coordinator at:

DESContractsTeamCedar@des.wa.gov

EXHIBIT A2 – BIDDER’S PROFILE: 28723 – ELEVATOR SERVICES PAGE 1

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