4-Attachment A - Respondent Questionnaire RFP.docx

DOCX document 37 KB Posted

Attached to
Medical Supplies
Solicitation number
545610
Issued by
Wayne County, Detroit City, Michigan

About this file

This document is an Attachment A Respondent Questionnaire for a Request for Proposal issued by the City of Detroit Office of Contracting and Procurement (OCP) in Michigan for the provision of medical supplies. The questionnaire does not specify quantities, response dates, due dates, site visits, bidders' meetings, award dates, or contract terms within its content, as it functions as a data collection instrument rather than a solicitation notice with those details.

The questionnaire is structured to evaluate respondent qualifications across two main sections: respondent experience and organizational capacity. Part 1 requires submission of contact information, firm background details including business structure and years in operation, at least three relevant project references from the preceding five years demonstrating similar contract size and scope, and information regarding any proposed subcontractors with verification that they are not on the City of Detroit's debarred and suspended suppliers list. Part 2 addresses respondent capacity and staffing through submission of an organizational chart, resumes for all key personnel, the number of dedicated employees, and relevant experience documentation for listed staff members. The document was revised on December 2, 2025, and respondents are also required to disclose any claims, lawsuits, or contract terminations from the preceding ten years.

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Text version

City of Detroit Office of Contracting and Procurement (OCP) Request for Proposal

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 Solicitation 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 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. 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.

k. 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.

l. Identify any projects in which your contract was terminated for any reason.

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

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.

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 12/2/2025.

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