3 Vendor Questions Worksheet - Baraga CSC.docx
DOCX document 68 KB Posted
- Attached to
- Janitorial Service - Baraga CSC
- Solicitation number
- RFP 751 220000000406 1
- Issued by
- Arenac County, Michigan
About this file
This is a Vendor Questions Worksheet for a Request for Proposal issued by the Michigan Department of Natural Resources for janitorial services at the Baraga Customer Service Center (RFP No. 220000000406). The document serves as a mandatory worksheet that bidders must complete and attach to their proposals submitted through SIGMA VSS. The worksheet does not specify product quantities, response dates, due dates, site visits, bidders' meetings, award dates, or contract term details; instead, it functions as a comprehensive questionnaire requiring bidders to provide company background information, relevant experience, and compliance certifications.
The worksheet requires bidders to disclose financial information including gross annual sales for the past five years, company history and organizational changes, any debarment or suspension status, litigation history, contract defaults or terminations, and Michigan economic impact data such as employee counts and wage information. Bidders must certify compliance with various state and federal requirements including labor and employment laws, environmental regulations, supplier diversity initiatives, proper employee classification, abusive labor practice prohibitions, Michigan business tax filings, Iran-linked business restrictions, and state tax payment obligations. The document also addresses qualification for the Service-Disabled Veteran-Owned Business (SDVOB) preference program, participation in RFP development, prior State of Michigan contracting experience, and agreement with standard contract terms. No specific pricing terms, set-asides, incumbent contractor information, or funding amounts are detailed in this worksheet.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4 Schedule A and Standard Terms - Janitorial - Baraga CSC.docx | DOCX document | |
| 5 Schedule B - Part I - Location Specification Sheet - Baraga CSC.docx | DOCX document | |
| 2 Confidential Treatment - Baraga CSC.docx | DOCX document | |
| 6 Schedule B - Part II Vendor Work Plan - Baraga CSC.docx | DOCX document | |
| 1 Proposal Instructions - Baraga CSC.docx | DOCX document | |
| 8 Schedule B - Part III - Vendor Price Quote Spreadsheet - Baraga CSC.xlsx | XLSX spreadsheet | |
| 7 Schedule B - Part III - Vendor Price Quote - Baraga CSC.docx | DOCX document |
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Text version
Michigan.gov/MiProcurement vendor questions worksheet Department of Natural Resources Janitorial Services DNR Baraga Customer Service Center Request for Proposal No. 220000000406
MANDATORY DOCUMENT
COMPLETE AND ATTACH WITH PROPOSAL IN SIGMA VSS
Provide a detailed response to each question.
| Information Required |
| Bidder Response |
1. Contact Information
Bidder’s sole contact during the RFP process.
Name
Title
Address
Phone Number
Person authorized to review and sign a resulting contract.
Name
Title
Address
Phone Number
2. Company Background Information
SIGMA VSS Vendor ID Number
Legal business name
Business Entity (sold proprietor, LLC, Inc., etc.)
What state was the company formed in?
Address
Phone number
Website address
Number of years in business
Number of employees
Legal business name and address of parent company, if applicable
State the physical address of the place of business that would have primary responsibility for this account if awarded a contract under this RFP.
| Within the past five years, has there been a change in organizational structure (e.g., change in management or management team) or control (e.g., new owner / president, merger or acquisition) of your company? |
| ☐ Yes ☐ No |
If the answer is Yes, why did the change occur?
If the answer is Yes, how has the change affected your company?
| Have you or your company ever been debarred, suspended, or disqualified from bidding or contracting with any entity, including the State of Michigan? If yes, provide the date, the entity, and details about the situation. |
| ☐ Yes ☐ No |
☐ Debarred ☐ Suspended ☐ Disqualified from bidding ☐ Disqualified from contracting
Date
Entity
Details about the situation
| Have you or your company been a party to litigation against the State of Michigan? If the answer is yes, then state the date of initial filing, case name and court number, and jurisdiction. |
| ☐ Yes ☐ No |
Date of Initial Filing
Case Number
Court Number
Jurisdiction
Cause of Action or Claim
Within the last 5 years has your company (or any of its related business entities) defaulted on a contract or had a contract terminated for cause?
If yes, provide the date, contracting entity, type of contract, and details about the termination or default.
☐ Yes ☐ No ☐ Defaulted on Contract ☐ Terminated for Cause
Contracting Agency / Entity
Type of Contract
Date of Default or Termination
Reason for Default or Termination
State your gross annual sales for each of the last 5 years.
| If you are awarded a contract under this RFP, will it increase your gross revenue more than 25% from last year’s sales? |
| ☐ Yes ☐ No |
If the answer is Yes, describe how the company will “scale up” to manage this increase.
Describe partnerships, strategic relationships or other benefit you believe could bring significant value to the State.
3. Qualified Disabled Veteran/Service-Disabled Veteran-Owned Business Program
Under MCL 18.1261, a “qualified disabled veteran” means a business entity that is 51% or more owned by 1 or more veterans with a service-connected disability. A “service-connected disability” means a disability incurred or aggravated in the line of duty in the active military, naval, or air service as described in 38 USC 101(16).
| Are you a qualified disabled veteran? |
| ☐ Yes ☐ No |
| Do you wish to have the SDVOB Preference applied? |
| ☐ Yes ☐ No |
To demonstrate qualification as a qualified disabled veteran, you must include as an attachment with the proposal in SIGMA VSS:
| (a) Proof of service & conditions of discharge (DD214 or equivalent), and |
| ☐ |
| (b) Proof of service-connected disability (DD214 if the disability was documented at discharge |
| ☐ |
OR
| Veterans Administration Rating Decision Letter or equivalent if the disability was documented after discharge) |
| ☐ |
AND
| (c) Legal documents setting forth the ownership of the business entity. |
| ☐ |
| In lieu of the documentation identified above, you may provide proof of certification by the National Veterans Business Development Council. |
| ☐ |
4. Participation in RFP Development or Evaluation
| Did your company, an employee, agent, or representative of your company, or any affiliated entity participate in developing any component of this solicitation? For purposes of this question, business concerns, organizations, or individuals are affiliates of each other if, directly or indirectly: (1) either one controls or has power to control the other or (2) a third-party controls or has the power to control both. Indicia of control include, but are not limited to, interlocking management or ownership, identity of interests among family members, shared facilities or equipment, and common use of employees. |
| ☐ Yes ☐ No |
| If you are awarded a contract under this solicitation, in order to provide the goods or services required under a resulting contract, do you intend to partner or subcontract with a person or entity that assisted in the development of this solicitation? |
| ☐ Yes ☐ No |
| Has your company, or an employee, agent, or representative of your company, been asked to participate in a Joint Evaluation Committee to evaluate proposals received in response to this RFP? |
| ☐ Yes ☐ No |
5. State of Michigan Experience and Prior Relevant Experience
| Does your company have experience working with the State of Michigan? If so, please provide information on SOM contracts you have or had in the last 10 years. |
| ☐ Yes ☐ No |
Contract Number:
Contract Start Date:
Contract Expiration Date:
Contract Amount:
Agency:
Contract Administrator:
Contract Number:
Contract Start Date:
Contract Expiration Date:
Contract Amount:
Agency:
Contract Administrator:
Contract Number:
Contract Start Date:
Contract Expiration Date:
Contract Amount:
Agency:
Contract Administrator:
Contract Number:
Contract Start Date:
Contract Expiration Date:
Contract Amount:
Agency:
Contract Administrator:
Bidders without State of Michigan experience must complete the Relevant Experience section, below. Describe at least three (3) relevant experiences from the last five (5) years which demonstrate your ability to perform the Contract Activities included in this RFP.
Relevant experience should be of similar size and scope to the work described in this RFP.
DO NOT attach references without completing this section.
| Relevant Experience 1 |
| Bidder Response |
Company Name:
Contact Name:
Contact role at time of project:
Contact phone:
Contact email:
City:
State:
Zip:
Project name:
Description of the scope of the project:
How is this experience relevant to this RFP?
Dollar Value or Contract Amount:
Project Start Date:
Project End Date:
Status (complete, ongoing, phase, etc.)
Results obtained
| Relevant Experience 2 |
| Bidder Response |
Company Name:
Contact Name:
Contact role at time of project:
Contact phone:
Contact email:
City:
State:
Zip:
Project name:
Description of the scope of the project:
How is this experience relevant to this RFP?
Dollar Value or Contract Amount:
Project Start Date:
Project End Date:
Status (complete, ongoing, phase, etc.)
Results obtained
| Relevant Experience 3 |
| Bidder Response |
Company Name:
Contact Name:
Contact role at time of project:
Contact phone:
Contact email:
City:
State:
Zip:
Project name:
Description of the scope of the project:
How is this experience relevant to this RFP?
Dollar Value or Contract Amount:
Project Start Date:
Project End Date:
Status (complete, ongoing, phase, etc.)
Results obtained
6. Standard Contract Terms
| Bidder must affirm agreement with the attached Contract Terms. If not in agreement, written exceptions in accordance with the Evaluation Process section of the Proposal Instructions must be provided with the proposal. |
| ☐ Agree to Contract Terms |
☐ Do Not Agree with Contract Terms (attach written exceptions)
7. Michigan Economic Impact
Number of employees currently employed at locations in Michigan.
Number of additional employees to be employed at locations in Michigan if awarded this Contract (if any)
Minimum wage paid to employees at locations in Michigan.
Average wage paid to employees employed at locations in Michigan.
Number of employees assigned to the location included in this RFP and resulting Contract who will be paid minimum wage.
Number or percent of employees employed at locations in Michigan that are covered by employer-provided health insurance.
8. Labor and Environmental Laws Compliance
Bidder must disclose any violations of state or federal labor and employment laws and regulations received within the past five years.
Bidder must disclose any violations of state or federal environmental laws and regulations received within the past five years.
9. Supplier Diversity
| Does your company have a supplier diversity program or training? |
| ☐ Yes ☐ No |
10. Other
| Classification of Employees. I certify that the company has properly classified its employees in accordance with federal/state labor and employment laws. |
| ☐ Yes ☐ No |
| Abusive Labor Practices. The Contractor certifies that it will not furnish any Deliverable that was produced fully or partially by forced labor, forced or indentured child labor, or indentured servitude. |
| ☐ Yes ☐ No |
| Certification of Michigan Business- Public Act 431 of 1984, Sec. 268. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Business Tax Corporate Income Tax Return. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Income Tax return showing income generated in, or attributed to the State of Michigan. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, withheld Michigan Income Tax from compensation paid to the company’s owners and remitted the tax to the Michigan Department of Treasury. |
| ☐ Yes ☐ No |
| Iran Linked Business- Public Act 517 of 2012. I certify that the Company is not an Iran-Linked business as defined by Public Act 517 of 2012. |
| ☐ Yes ☐ No |
| Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451. |
| ☐ Yes ☐ No |
| Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies. |
| ☐ Yes ☐ No |
| SOM Debt/Tax Payment. All SOM tax/debts. I certify that all applicable State of Michigan taxes are paid, and that no outstanding debt is owed to the State of Michigan. |
| ☐ Yes ☐ No |
| Authorization to Verify Information Provided by Vendor. I authorize the State to verify that all information provided in this registration, in bidding and contracting documents, and any attachments or supplement documents and processes are accurate. |
| ☐ Yes ☐ No |
Michigan.gov/MiProcurement vendor questions worksheet image1.png
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