4-Corporate Profile Rev.4.1.26.pdf
PDF 119 KB Posted
- Solicitation number
- 26-062
- Issued by
- Maryland
About this file
This is a Corporate Profile template form used by the Maryland Stadium Authority (MSA) to evaluate prospective bidders for on-call Security Network Electrical and Structured Cabling Services at the Camden Yards Sports Complex in Maryland. The form collects comprehensive firm information including contact details, business background, years of operation, employee counts, and gross sales data for the regional office responsible for contract work. Bidders must provide three project references from different projects, with MSA staff explicitly excluded as references, and must disclose their experience performing the relevant services. The solicitation requires submission of current certificates of insurance covering workers' compensation, employer's liability, commercial general liability, automobile liability, umbrella or excess liability, and property insurance. No specific response deadline, bid submission date, or contract award timeline is indicated in this template document itself, as those details would be contained in the associated Invitation for Bids.
The Corporate Profile form requires bidders to disclose any contract failures, breaches, civil litigation, or criminal investigations exceeding $100,000 in judgment or settlement value within the past five years, as well as any incomplete projects. Firms must also provide their Workers' Compensation Experience Modification Rates (EMR) for the prior four years and report any regulatory citations received from federal or state OSHA within the last three years. The template does not specify pricing terms, set-asides, incumbent contractor information, or contract value ranges, as these elements would be detailed in the full Invitation for Bids solicitation documents. The form is designed to support the MSA's evaluation of bidder qualifications, financial stability, safety records, and past performance prior to award decisions.
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Text version
Rev. 4/26
Corporate Profile
Firm Contact Information
Firm Name: _______________________
Federal ID Number: _______________________
Point of Contact: _________________ Phone Number: _______________
Regional Office Address: _________________________
Firm Background Information
Year Firm Founded: _______________
Is the firm MDOT MBE Certified? ______ If certified, provide the certification number and minority status.
Is the firm registered with the Maryland small business reserve program (SBR)?
_________ If yes, provide the active registration number.
Primary Business/Service Provided: ______________________________
Number of Years Performing Services: __________________________
Number Full Time Employees (Corporate/Regional Office): ________/_________ Provide a brief narrative outlining the firm’s history.
Provide gross sales of the business for the most recently completed three-year period.
Note that information provided is to be for the regional / local office that would be responsible for completing work under this solicitation.
Year Gross Sales
Firm References
Provide three (3) references. Note that references are to be from different projects; that is, only one reference per project is allowed. MSA staff members cannot be considered as a firm's reference.
Project Name:______________________
Name: _______________________ Title: _______________________ Company Name: _______________________ Phone Number and email: _______________________ Project Relationship: _______________________
Project Name:______________________
Name: _______________________ Title: _______________________ Company Name: _______________________ Phone Number and email: _______________________ Project Relationship: _______________________
Project Name:______________________
Name: _______________________ Title: _______________________ Company Name: _______________________ Phone Number and email: _______________________ Project Relationship: _______________________
Disclosure of Contract Issues; Litigation; Criminal Investigations
In the last five years, list and discuss any alleged prior or ongoing contract failures (potential judgment/settlement in excess of $100,000), contract breaches (potential judgment/settlement in excess of $100,000), other significant civil litigation, and all criminal litigation or investigations, which involved your firm.
Failure to Complete
In the last five (5) years, disclose any projects that your firm was involved with that were not completed.
Insurance
Include current certificates of insurance showing the limits of liability maintained by your firm in each of the following categories: workers’ compensation, employer’s liability, commercial general liability, automobile liability, umbrella or excess liability, and property insurance.
Safety
Have you received any regulatory citations (e.g. federal or state OSHA) in the last three years? ________
If yes, provide explanation:
Provide your Workers’ Compensation Experience Modification Rates (EMR) for the last 4 years
Year EMR
If EMR not applicable, provide explanation
Prepared By:
Name: ________________________________
Title: __________________________________
Signature: _____________________________
Date: _________________________________
| Corporate Profile |
| Firm Contact Information |
| Firm Background Information |
| Provide three (3) references. Note that references are to be from different projects; that is, only one reference per project is allowed. MSA staff members cannot be considered as a firm's reference. |
File details come from the government source that posted it. Updated .