4-Attachment D2 - FTA Conditions of Award.pdf

PDF 4 MB Posted

Attached to
Heavy Duty Tow Truck
Solicitation number
548387
Issued by
Wayne County, Detroit City, Michigan

About this file

This is an FTA Conditions of Award document applicable to the City of Detroit Office of Contracting and Procurement and the Detroit Department of Transportation's procurement for one heavy-duty tow truck with preventative maintenance and repair parts. The equipment must be capable of safely recovering and relocating New Flyer XD40 (40-foot) and XD60 (60-foot articulated) transit buses in both depot and on-road environments. The document establishes the federal conditions that apply to this acquisition, which involves Federal Transit Administration (FTA) funding or oversight requirements that the successful bidder and the City must comply with throughout the contract term.

The FTA Conditions of Award impose various compliance obligations on the recipient and contractor, including but not limited to requirements regarding civil rights, labor standards, environmental compliance, and procurement practices. These conditions typically mandate that the contractor comply with applicable federal regulations and certifications, maintain records and documentation as required, and ensure that no federal funds are used in violation of federal law or policy. The successful bidder must acknowledge and agree to these conditions as a prerequisite to contract award, and the City retains responsibility for ensuring ongoing compliance throughout the performance period.

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ATTACHMENT D-2: FTA CONDITIONS OF AWARD

City of Detroit Office of Contracting and Procurement

Any contract/purchase order resulting from this solicitation shall include the forms and documentation indicated below.

1. City of Detroit Consolidated Affidavits (must be notarized)

• Hiring policy compliance

• Slavery era records and insurance, and prison industry and immigration detention system records and interests disclosure

• Covenant of equal opportunity

• Statement of political contributions and expenditures

• Signature & Acknowledgment

2. Sample Employment Application

Attach a copy of a sample employment application in compliance with City of Detroit hiring policy

3. Q3 Form Technical Disclosure Attach completed Technical Disclosure form

4. Q4 Form Financial Disclosure Attach completed Financial Disclosure form

5. Certificate of Insurance Attach COI in compliance with coverages required in model agreement. Insurance holder:

6. Treasury Clearance Approved clearances are not required to submit a response to the RFP but will be required of the successful respondent prior to City Council approval. See instructions below. Attach clearance.

7. System of Awards Management (SAM) Registration

Sam.gov is an official US Gov. website, 100% free

Attach a PDF screenshot to show proof of registration, or of SAM documentation. See instructions below, “SAM.GOV Registration Steps”

8. Certificate of Authority Select the applicable Certificate of Authority, complete and attach. Proposer may alternatively submit its own Resolution of Authority.

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ATTACHMENT D-2: CONDITIONS OF AWARD

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CONSOLIDATED AFFIDAVITS

The following attestations must be provided to the City of Detroit as part of the contract approval process. Please fill out required information, attach required supplemental documents and have it notarized before submitting.

I. HIRING POLICY COMPLIANCE

I , being duly sworn, state that I am the of

, and that I have reviewed the hiring policies of this employer, I affirm that these policies are in compliance with the requirements of Chapter 17, Article V, Division 6 of the

2019 Detroit City Code, being Sections 17-5-261 through 17-5-266 thereof. I further affirm that this employer will not inquire or consider the criminal convictions of applicants for employment needed to fulfill the terms of any City contract that may result from the competitive procedure in connection with which this affidavit is submitted, until such times as the employer interviews the applicant or determines that the applicant is qualified.

In support of this affidavit, I HAVE ATTACHED A COPY OF THE EMPLOYMENT APPLICATION that will be used to hire employees needed to fulfill the terms of any City contract that may result from the competitive procedure in connection with which this affidavit is submitted.

II. SLAVERY ERA RECORDS AND INSURANCE, AND PRISON INDUSTRY AND

IMMIGRATION DETENTION SYSTEM RECORDS AND INTERESTS DISCLOSURE

1. Name of Contractor:

2. Address of Contractor:

3. Name of Predecessor Entities (ifany):

4. Prior Affidavit Submission? No Yes, on:

(Date of prior submission)

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5. Contractor was established in (year) and did not exist during the slavery era in the United States, is not a successor in interest to any entity that existed during such time, and therefore has no relevant records to search, or any pertinent information to disclose.

OR

Contractor has searched its records and those of any predecessor entity, and has found no record that Contractor or any predecessor(s) made any investments in, or derived profits from, the slave industry or slave holder insurance policies.

Contractor has found records that Contractor or its predecessor(s) made investments in, or derived profits from, the slave industry or slave holder insurance policies. The nature of the investment, profits, or insurance policies, including the names of any slaves or slave holders, is disclosed in the attached document(s).

6. Contractor has searched its records and those of any and all predecessor entities, and has found no record that indicate Contractor or its predecessor(s) have used inmate labor, or have derived income directly from, or have had any investments in, the construction, operations, services or activities of prisons.

Contractor has found records that indicate Contractor or its predecessor(s) have used inmate labor, or have derived income directly from, or have had any investments in, the construction, operations, services or activities of prisons. The nature of the use of inmate labor, profits, or investments is disclosed in the attached document(s).

7. Contractor has searched its records and those of any and all predecessor entities, and has found no record that indicates Contractor or its predecessor(s) have derived any income directly from, or have had any investments in, the construction, operations, services, or activities of facilities in the United States that are used for the detention of persons who are not citizens or nationals of the United States.

Contractor has found records that indicate Contractor or its predecessor(s) have derived any income directly from, or have had any investments in, the construction, operations, services, or activities of facilities in the United States that are used for the detention of persons who are not citizens or nationals of the United States. The nature of the profits or investments is disclosed in the attached document(s).

I declare that the representations made in this Affidavit are accurate to the best of my knowledge and are based upon a diligent search of records in the Contractor’s possession or knowledge, and that all documentation attached to this Affidavit reflects full disclosure of all records that are required to be disclosed to the City of Detroit. I also acknowledge that any failure to conduct a diligent search, or to make a full and complete disclosure, shall render this contract voidable by the City of Detroit.

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I, , being a duly authorized representative of , (hereinafter “Contractor”), am hereby authorized to enter into a Covenant of Equal Opportunity, (hereinafter “Covenant”) with the City of Detroit, (“hereinafter” City); obligating the Contractor and all sub-contractors, not to discriminate against any employee or application for employment, training, education, or apprenticeship connected directly or indirectly with the performance of the contract, with respect to his/her hire, promotion, job, assignment, tenure, terms, conditions, or privileges of employment because of race, color, religious beliefs, public benefit status, national origin, age, marital status, disability, sex, sexual orientation, or gender identity or expression; except as otherwise exempted under Section 23-2-6 of the 2019 Detroit City Code.

Contractor will ensure that the City of Detroit Human Rights Department shall receive notification of all potential sub-contractors and a copy of their Covenant prior to the commencement of work on any City of Detroit contract. Contractor further agrees that the City of Detroit reserves the right to require additional information prior to, during, and at any time until after the Covenant is fully executed.

Furthermore, Contractor agrees that this Covenant is valid for the life of the contract and/or for a specified period of time as indicated below and that a breach of this Covenant shall be deemed a material breach of contract and be subject to damages pursuant to Section 23-4-11(e) of the 2019 Detroit City Code.

RFQ/PO No.: (if applicable)

Duration of Covenant to

III. COVENANT OF EQUAL OPPORTUNITY

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City Charter Sec. 4-122: For purposes of conflicts of interest, the City shall require in all of its contractual agreements, including, but not limited to, leases, service and equipment agreements and including contract renewals, that the contractor provide a statement listing all political contributions and expenditures (“Statement of Political Contributions and Expenditures”), as defined by the Michigan Campaign Finance Act, MCL 169.201, et seq., made by the contractor, its affiliates, subsidiaries, principals, officers, owners, directors, agents or assigns to elective city officials within the previous four (4) years. Individuals shall also list any contributions or expenditures from their spouses.”

Instructions: In accordance with Sec. 4-122 of the 2012 Detroit City Charter, please provide the following information. If additional space is needed, please enter “see additional sheet(s)” on the last row and attach additional sheets.

In Column A, enter the name of the person or company that made the contribution or expenditure. If there were no political contributions or expenditures made, enter NONE.

In Column B, enter the relationship of the donor to the contractor or vendor, that is, contractor, affiliate, subsidiary, principal, officer, owner, director, agent, assignee, or spouse of any of the foregoing who are individuals.

In Column C, enter the name of the recipient, an elective city official which under Charter § 3-107, includes only the Mayor, the City Clerk, and members of the City Council and the Board of Police Commissioners.

In Column D, enter the amount of the contribution or expenditure, as defined in the Michigan Campaign Finance Act, 1976 PA 388, MCL 169.204 and MCL 169.206.

In Column E, enter the date of the contribution or expenditure. This statement must include all contributions and expenditures within the previous four years.

A B C D E

Donor

Relationship to

Contractor/

Vendor

Recipient

Amount of Contribution or Expenditure

Date

IV. STATEMENT OF POLITICAL CONTRIBUTIONS AND EXPENDITURES

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Except as set forth above, I certify that no contributions or expenditures were made to elective city officials within the previous four (4) years by the contractor, its affiliates, subsidiaries, principals, officers, owners, directors, agents, assigns, and, if any of the foregoing are individuals, their spouses.

V. SIGNATURES AND ACKNOWLEDGEMENT:

I understand that the information provided in this consolidated affidavit will be relied upon by the City of Detroit in awarding the proposed bid, solicitation, contract, or lease. I swear or affirm that I have read this document, that I the authority to provide these disclosures and to bind the Contractor, and that the information provided herein is accurate. I have attached all required supplemental documents.

Sign name:

Print name:

Title:

STATE OF

MICHIGAN

COUNTY

Sworn and subscribed to before me on ,20 , by , Date Name the of .

Title Contractor

Sign:

Print:

Notary Public, County, Michigan

Acting in County

My Commission Expires:

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Please note the following additional requirements for award:

Sample Employment Application

Attach a copy of your organization’s sample employment application

City of Detroit Treasury Clearance

Approved clearances are not required to submit a response to the RFP but will be required of the successful respondent prior to City Council approval. See instructions below on page 8.

Please note that Clearance takes a minimum of 10 days after application is submitted.

Certificate of Insurance

Attach Certificate of Insurance in compliance with the coverage requirements in the model Subrecipient Agreement. Insurance providers must be registered in DIFS with the State of Michigan.

https://difs.state.mi.us/locators

If your organization does not have employees, please request the worker’s compensation waiver form. If your organization does carry auto insurance and does not own automobiles, please request the owned auto waiver form if applicable.

System of Awards Management (SAM) Registration

Attach documentation of active SAM registration. Please note that SAM registration is FREE. See instructions below on page 10. “SAM.GOV Registration Steps”

Please note that SAM Registration takes a minimum of 10-15 days.

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OFFICE OF CONTRACTING AND PROCUREMENT

AND THE

DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q3

Solicitation Number: ____________________________ Solicitation Title: ___________________________________

TECHNICAL DISCLOSURE

1. List the name, title and business address of each director and principal officer of Proposer.

2. Number of employees: _______________ including ____________ employees in the Metropolitan

Detroit Area.

3. Does the Proposer have any outstanding bids or proposals for contracts (i.e., bids or proposals pending where no contract has yet been awarded) with the City of Detroit? If none, state "None".

If yes, please list them and provide the name of the requesting agency, the contract number, a brief description of the work effort and the status of the bid or proposal. Indicate if the bid/proposal was submitted by the Proposer as prime contractor or joint venture.

4. Has the Proposer been awarded any contracts within the last three years by the City of Detroit? If none, state "None". If yes, describe those contracts beginning with the most recent. State the name of the contracting entity; give a brief description of the contract and the contract number; state the contract period, the status of the contract, and the name, address, and telephone number of a contact person at the agency. Indicate if award was made to Proposer as prime contractor or joint venture.

Proposer need not provide more than six such descriptions.

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q3

5. Does the Proposer have any current private sector projects? If none, state "None". If yes, provide name and address of owner, a brief description of work, status of contracts and name, address and telephone number of contact person as to each, beginning with the most recent. Indicate if Proposer is acting as prime contractor or joint venture. Proposers need not provide more than six such descriptions.

6. For each of the following contracts, provide a brief description of the work performed, the contract number, the dollar amount at award and at completion, date completed, and the name and telephone number of the owner's representative.

a. Each contract completed during the last three years or, if less than three contracts have been completed during the last three years, list the last three contracts completed.

b. Each contract completed during the last three years or, if less than three contracts have been completed during the last three years, list the last three contracts completed, for which liquidated damages or penalty provisions were assessed against you for failure to complete the work on time or for any other reason.

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q3

7. List each contract which, during the last three years, the person/entity contracting with you:

i) terminated for default; ii) sued to compel performance; iii) sued to recover damages, including, without limitation, upon alleged breach of contract, misfeasance, error or omission or other alleged failure on your part to perform as required by your contract; or iv) called upon a surety to perform the work.

8. Describe whether any present or anticipated commitments and/or contractual obligations might have an influence on the capabilities of the Proposer to perform the work called for by this Contract.

Any apparent conflicts as between the requirements/commitments for this Contract and the matters listed in items 3, 4, 5 or 6, above, with respect to the use of Proposer's resources, such as management or technical expertise or financing, should be explained. If none, state "None".

9. Describe any litigation, in which the Proposer is involved, which:

a. has or may have an impact on the Proposer's ability to perform any work called for by this solicitation; or

b. the demand or potential exposure is for more than $250,000, exclusive of personal injury litigation where the liability is covered by insurance.

If none, state "None."

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DETROIT DEPARTMENT OF TRANSPORTATION

YES NO If answer is "YES", explain below.

11. a. If any professional or other licenses, permits, or certifications are required to perform the work/services called for by this solicitation, list the license, permit, or certification that the Proposer or Proposer's employees or agents possess. If none, state "None".

License or Permit Issuing or Certification Name of Holder State or Entity

b. Have any of the Proposer's officers, partners, owners, managers or employees had any project related licenses, permits or certifications revoked or suspended in the past three years.

YES NO If answer is "YES", explain details below.

FORM Q3

10. During the past three years, has the Proposer's firm ever been a party to a bankruptcy or reorganization proceeding?

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DETROIT DEPARTMENT OF TRANSPORTATION

13. Has Proposer's safety practices/procedures been evaluated or rated as less than satisfactory by the

City or State of Michigan, any other state, any public authority or other public entity, the United

States government, within the past five years?

YES NO If answer is "YES", explain details below.

14. Is your firm's Workers Compensation Experience Rating 1.2 or greater?

YES NO If answer is "YES", explain details below.

15. Does Proposer have either a history of claims loss or any substantial individual claim loss within the past five years due to general liability or workers compensation claims?

YES NO If answer is "YES", explain details below.

FORM Q3

12. Does the Proposer's firm share office space, staff or equipment (including telephone exchanges) with any other business or organization?

YES NO If answer is "YES", list firm name, address and nature of shared facilities.

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q3

16. List the names, titles and attach resumes which indicate the level of skill and experience of your proposed project management team. (See Specifications or the Scope of Work for the functions of the project management team, as applicable, and other requirements in regard to project management.)

17. Which of the individuals named in item 16, above, will be utilized exclusively on this Contract on a full-time basis? (The Specification or the Scope of Work may indicate requirements for certain dedicated staff.)

18. Which of the individuals named in item 16, above, are not presently officers, partners, owners or employees of the firm?

19. Attach an outline of your proposed Quality Control program (see appropriate section of the

Specifications or the Scope of Work) for this Contract. Where the Specifications or the Scope of

Work set out required elements for the program, such outline must cover each element.

Signature: __________________________________________

Title: ______________________________________________

Firm: ______________________________________________

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q4 : FINANCIAL DISCLOSURE

1. Provide certified financial statements for the last three fiscal years. If certified financial statements are not available, provide financial statements sworn to by the firm's Chief Financial

Officer.

2. The Proposer may submit its prior three (3) years' financial statements in lieu of completing

Section 1 (Balance Sheet), Section 2 (Comparative Statement of Income & Retained Earnings), and Section 3 (Comparative Statements of Cash Flows). However, Section 1, Schedules A, B, C, D, E and F and Sections 4, 6 and 7 must be completed. If the Proposer is required to submit a performance bond, Section 5 must also be completed.

FORM Q4

Solicitation Number: _______________________________

Solicitation Title: __________________________________

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

SECTION 1

COMPARATIVE BALANCE SHEET

as of

($000) 20___ 20___ 20___

I. CURRENT ASSETS:

Cash ___________________________ ________ ________ _____

Marketable Securities ______________ ________ ________ _____

Notes Receivable (Schedule A) ______ ________ ________ _____

Accounts Receivable (Schedule B) ___ ________ ________ _____

Bid Deposits (Schedule C) __________ ________ ________ _____

Inventories ______________________ ________ ________ _____

Prepaid Expenses _________________ ________ ________ _____

Other Current Assets:

TOTAL CURRENT ASSETS

II. OTHER ASSETS:

Investment in Affiliates ____________ $_________ $_______ $_______

Other Non-Current Assets:

TOTAL OTHER ASSETS $_________ $_______ $_______

III. PROPERTY, PLANT & EQUIPMENT:

NET PROPERTY, PLANT & EQUIPMENT

(Net of Depreciation) $_________ $______ $_______

TOTAL ASSETS $_________ $______$_____

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

LIABILITIES

($000) 20___ 20___ 20___

I. CURRENT LIABILITIES

Notes Payable (Schedule D) ________ __________ _________ _____

Accounts Payable (Schedule E) _____ __________ _________ _____

Loans Payable (Schedule F) ________ __________ _________ _____

Taxes Payable ___________________ __________ _________ _____

Current Portion of Long Term Debt __ __________ _________ _____

Accrued Liabilities _______________ __________ _________ _____

Other Current Liabilities:

TOTAL CURRENT LIABILITIES $_________ $________ $_______

II. NON-CURRENT LIABILITIES

Long Term Debt __________________ __________ _________ _______

Other:___________________________ __________ _________ _____

TOTAL NON-CURRENT LIABILITIES $_________ $________ $______

TOTAL LIABILITIES $_________ $________ $___

III. EQUITY

Capital Stock Paid Up:

Common ______________________ $_________ $________$________

Preferred ______________________ $_________ $________$________

Surplus (net worth) ________________ $_________ $________$________

TOTAL EQUITY $_________ $_______$________

TOTAL LIABILITIES AND EQUITY $_________ $________$________

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

DETAILS RELATIVE TO ASSETS

SCHEDULE A

(a) due within 90 days ____________$______________

Notes Receivable (b) due after 90 days ____________$______________

(c) past due _____________________$______________

Receivable From:

Name

Purpose

Date of

Maturity

How

Secured

Amount

TOTAL

SCHEDULE B

Aging of Accounts Receivable P A S T D U E

Current

1 to

30 days

31 to

60 days

61 to

90 days

Over

90 Days

Total

Trade $

Other $

Total $

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

SCHEDULE C

Bid Deposit

Holder of Deposit: Name

Description Amount

TOTAL $

DETAILS RELATIVE TO LIABILITIES

SCHEDULE D

Notes Payable

(a) Not Past Due _________________$ _______________

(b) Past Due _________________$ _______________

To Whom: Name Purpose When Due Amount

TOTAL $

SCHEDULE E

Accounts Payable

(a) Not Past Due _________________$ _______________

(b) Past Due _________________$ _______________

To Whom: Name Purpose Date

Payable

Amount

TOTAL $

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

SCHEDULE F

Loans Payable

(a) Not Past Due _________________$ _______________

(b) Past Due _________________$ _______________

To Whom: Name Purpose Date

Payable

Amount

TOTAL $

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

SECTION 2

COMPARATIVE STATEMENT OF INCOME & RETAINED EARNINGS

STATEMENT FOR PERIODS ENDED: 20___ 20___ 20___

SALES___________________________ $________ $________ $________

Less:

COST OF SALES:

Labor _____________________ _________ _________ ____

Material ___________________ _________ _________ ____

Depreciation ________________ _________ _________ ____

Other Overhead _____________ _________ _________ ____

GROSS MARGIN $________ $________ $___

Less: Selling, General and

Administrative Expenses ______ _________ _________ ____

Income Before Taxes _________ _________ _________ ____

Less: Income Taxes __________ _________ _________ ____

NET INCOME $________ $________ $___

Retained Earnings Beginning of Period _______________ $________ $________ $___

Less: Cash Dividends Paid ____ $________ $________ $___

Other:________________ $________ $________ $___

Net Retained Earnings End of Period ________________ $_________ $_________ $___

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SECTION 3

COMPARATIVE STATEMENTS OF CASH FLOWS

FOR THE YEARS ENDED

Increase (Decrease) in Cash

20___ 20___ 20___

Cash flows from operating activities: $_______ $______ $_______

Cash received from customers_______ ________ ______ ________

Cash paid to suppliers & employees ____ ________ ______ ________

Interest Paid ________________________ ________ ______ ________

Income Taxes Paid ___________________ ________ ______ ________

Miscellaneous receipts (payments) ________ ________ ______ ________

Net cash provided by operating activities __ $_______ $______ $________

Cash flows from investing activities: _______ ______ ________

Proceeds from sale of equipment:__________ _______ ______ ________

Payments for purchase of equipment:_______ _______ ______ ________

Net Cash Used in Investing activities:_______ $_______ $_____ $_______

Cash flows from financing activities: ________ _____ ________

Net increase in short-term debt: ________ _____ ________

Proceeds from issuance of long-term debt ___ ________ _____ ________

Repayment of long-term debt _____________ ________ _____ ________

Payment of Dividends ___________________ ________ _____ ________

Net Cash provided by (used in) financing

Activities $_______ $_____ $_______

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DETROIT DEPARTMENT OF TRANSPORTATION

FORM Q-4

Net increase (decrease) in cash ____________ $_______ $____ $_______

Cash at beginning of year ________________ $_______ $____ $_______

Cash at end of year _____________________ $_______ $____ $_______

SECTION 4 - IDENTITY OF OWNERS

Who are the principal owners or shareholders of the business enterprise and approximately what percentage does each own?

Name Percent Owned

SECTION 5 - PERFORMANCE BOND INFORMATION

Section 5 is only applicable to solicitations in which the Proposer is required to provide a performance bond.

Names and addresses of bonding company or companies that have agreed to furnish the performance bond required by the Contract.

1. Name:__________________________________________

Address:___________ _______________________________

Bond Amount: ____________________________________

Expiration Date:___________________________________

2. Name:__________________________________________

Address:___________________________________

Bond Amount: ____________________________________

Expiration Date:___________________________________

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SECTION 6 - SUBCONTRACTS

What parts of this Contract, if any, does Proposer expect to subcontract?

Portion of Work

Name and Address of Proposed

Subcontractor, if known

SECTION 7 - CERTIFICATION

I certify that the attached financial statements for this Proposal properly reflect the financial position of the company for the periods indicated on the financials.

Chief Financial Officer Date

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To apply for City of Detroit Treasury Clearance, click the link below and follow the instructions.

https://detroitmi.gov/departments/office-chief-financial-officer/ocfo-divisions/office-treasury/treasury-clearances

Scroll down to the business clearance form link:

Click the link and complete the Smartsheet form:

24 of 30 FTA Required Forms (RFP) Version 01/26/26 https://detroitmi.gov/departments/office-chief-financial-officer/ocfo-divisions/office-treasury/treasury-clearances https://detroitmi.gov/departments/office-chief-financial-officer/ocfo-divisions/office-treasury/treasury-clearances https://detroitmi.gov/departments/office-chief-financial-officer/ocfo-divisions/office-treasury/treasury-clearances

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Make sure to complete step 2 (Docusign form) after you submit the Smartsheet form:

Step 2: Complete and sign Docusign form

If you need assistance, reach out to cityofdetroitclearances@detroitmi.gov with your Applicant ID, found in the automated email from Smartsheet after successful submission of your application.

25 of 30 FTA Required Forms (RFP) mailto:cityofdetroitclearances@detroitmi.gov

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SAM.GOV REGISTRATION STEPS

1. Visit SAM.gov

a. https://sam.gov/content/home

2. Click “Sign In” a.

3. Click “Accept” for Accepting Terms and Conditions a.

4. Select “Create an Account”

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5. Enter Work Email and Submit

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6. An confirmation email will be sent to your work email from “Login.com” a.

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7. Create A Password

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8. Select an “Authentication Method Setup”. (note: I selected Phone for my method, seesnapshot below)

9. When prompted, be sure to be a “Viewer” for ENTITY COMPLIANCE

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DOING A SEARCH IN SAM.GOV

1. At the SAM.gov Home Page, select the “Search” tab

2. Enter the name/DUNS you are searching for in the search box

3. Based on the results, select the company, in order to Download a pdf

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4. Select the file, then Download

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Rev. 11/30/2022

CORPORATION CERTIFICATE OF AUTHORITY

I, , Corporate Secretary of (name of corporate secretary)

, a (complete name of corporation) (state of incorporation corporation (the “Corporation”), DO HEREBY CERTIFY that

(non-profit or for profit) the following is a true and correct excerpt from the minutes of the meeting of the Board of Directors duly called and held on , and that the same is now in full force and effect:

(date of meeting)

“RESOLVED, that the Chairman, the President, each Vice President, the Treasurer, and the Secretary and each of them, is authorized to execute and deliver, in the name of and on behalf of the Corporation and under its corporate seal of otherwise, any agreement or other instrument or document (‘Contract’) in connection with any matter or transaction that shall have been duly approved; and the execution and delivery of any Contract by any of the aforementioned officers shall be conclusive evidence of such approval.”

FURTHER, I CERTIFY that is Chairman is President, is/are Vice President(s), is Treasurer, is Secretary, is Executive Director, and is .

FURTHER, I CERTIFY that any of the aforementioned officers or employees of the

Corporation are authorized to execute and commit the Corporation to the conditions, obligations, stipulations and undertakings contained in the foregoing Contract between the City and the above-referenced Corporation and that all necessary corporate approvals have been obtained in relationship thereto.

IN WITNESS THEREOF, I have set my hand this day of , 20 .

CORPORATE SEAL (if any)

Corporation Secretary

PLEASE NOTE THAT THE PERSON WHO SIGNS THE CONTRACT ON BEHALF OF YOUR

CORPORATION MUST BE ONE OF THE INDIVIDUALS LISTED ABOVE AS PERSON AUTHORIZED TO

EXECUTE CONTRACTS IN THE NAME OF AND ON BEHALF OF THE CORPORATION.

LIMITED LIABILITY COMPANY CERTIFICATE OF AUTHORITY

I, , a Manager or Member

(name of manager) of , L.L.C, a limited liability company (the “Company”), DO

(name of company)

HEREBY CERTIFY that I am a Manager or Member of the Company who has the authority to act as an agent of the Company in executing this Certificate of Authority. I further certify that the following individuals are Managers or Members of the Company who have the authority to execute and commit the Company to the conditions, obligations, stipulations and undertakings contained in the foregoing Contract between the City and the Company:

FURTHER, I CERTIFY that all necessary approvals by the Managers or Members of the

Company have been obtained with respect to the execution of said Contract.

IN WITNESS THEREOF, I have set my hand this day of , 20 .

COMPANY SEAL( if any )

Manager or Member

PLEASE NOTE THAT THE PERSON WHO SIGNS THE CONTRACT ON BEHALF

OF YOUR LIMITED LIABILITY COMPANY MUST BE ONE OF THE INDIVIDUALS

LISTED ABOVE AS A PERSON AUTHORIZED TO EXECUTE CONTRACTS IN THE

NAME OF AND ON BEHALF OF THE LIMITED LIABILITY COMPANY.

PARTNERSHIP CERTIFICATE OF AUTHORITY

I, , A General Partner in , (name of general partner) a County, Partnership (“the Partnership”) (county of registration) (state in which county lies)

DO HEREBY CERTIFY that I am a General Partner in the Partnership formulated pursuant to a Partnership Agreement dated , and that the following is a true and

(date of meeting) correct excerpt from the minutes of the meeting of the General Partnership held on and that the same is now in full force and effect:

“RESOLVED, that each General Partner is authorized to execute and deliver, in the name and on behalf of the Partnership, any agreement or other instrument or document (‘Contract’) in connection with any matter or transaction that shall have been duly approved; and the execution and delivery of any

Contract by a general partner shall be conclusive evidence of such approval.”

FURTHER, I CERTIFY that the following persons are General Partners:

FURTHER, I CERTIFY that any of the aforementioned General Partners of the Partnership are authorized to execute and commit the Partnership to the conditions, obligations, stipulations and undertakings contained in the foregoing Contract between the City and the above-referenced partnership that all necessary approvals have been obtained in relationship thereto.

IN WITNESS THEREOF, I have set my hand this day of , 20 .

CORPPORATE SEAL (if any)

General Partner

PLEASE NOTE THAT THE PERSON WHO SIGNS THE CONTRACT ON BEHALF OF

YOUR PARTNERSHIP MUST BE ONE OF THE INDIVIDUALS LISTED ABOVE AS A

PERSON AUTHORIZED TO EXECUTE CONTRACTS IN THE NAME OF AND ON

BEHALF OF THE PARTNERSHIP.

UNINCORPORATED ASSOCIATION CERTIFICATE OF AUTHORITY

I, , Secretary of , (name of association secretary) an unincorporated association (the “Association”), DO HEREBY CERTIFY that the following is a true and correct excerpt from the minutes of the meeting of the Board of

Directors duly called and held on , and that the same is now in full

(date of meeting)

Force and effect:

“RESOLVED, that the Chairman, the President, each Vice President, the Treasurer, and the

Secretary and each of them, is authorized to execute and deliver, in the name of an on behalf of the Association and under its Association seal or otherwise, any agreement or other instrument or document (‘Contract”) in connection with any matter or transaction that shall have been duly approved; and the execution and delivery of any Contract by any of the aforementioned officers shall be conclusive evidence of such approval.”

FURTHER, I CERTIFY that is Chairman is President, is/are Vice President(s), is Treasurer, is Secretary, is Executive Director, and is .

FURTHER, I CERTIFY that any of the aforementioned officers of the Association are authorized to execute or guarantee and commit the Association to the conditions, obligations, stipulations, and undertakings contained in the foregoing Contract between the City and the above-referenced

Association and that all necessary Association approvals have been obtained in relationship thereto.

IN WITNESS THEREOF, I have set my hand this day of , 20 .

CORPORATE SEAL (if any)

Association Secretary

PLEASE NOTE THAT THE PERSON WHO SIGNS THE CONTRACT ON

BEHALF OF YOUR ASSOCIATION MUST BE ONE OF THE INDIVIDUALS

LISTED ABOVE AS A PERSON AUTHORIZED TO EXECUTE CONTRACTS IN

THE NAME OF AND ON BEHALF OF THE ASSOCIATION.

File details come from the government source that posted it. Updated .