4.0 - Attachment C (Profile of Firm Form).doc
DOC document 52 KB Posted
- Attached to
- On Call Carpet Cleaning
- Solicitation number
- B25002
- Issued by
- Gallatin County, Montana
About this file
This document is a Profile of Firm Form for Invitation for Bids (IFB) No. B25002, an on-call carpet cleaning services contract issued by HomeFront in Montana. The solicitation seeks to establish a vendor pool for carpet cleaning services for HomeFront units and additional properties located in Billings, with the form serving as a comprehensive vendor qualification document that requires detailed firm information, including company history, ownership structure, and key personnel.
The form captures critical vendor qualification details such as business ownership diversity, insurance information, and licensing credentials. Vendors must provide information about company principals, percentage of ownership, management personnel, tax identification numbers, business licenses, worker's compensation and liability insurance details. The document includes options for vendors to self-identify across multiple diversity categories, including minority-owned, woman-owned, veteran-owned, and other business enterprise classifications, though certification is not mandatory for bidding. The form is designed to collect comprehensive background information to help HomeFront evaluate potential carpet cleaning service providers for their property portfolio.
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Text version
INVITATION FOR BIDS (IFB) No. B25002, On-call Carpet Cleaning Services (Product/Labor)
PROFILE OF FIRM FORM
(IFB Attachment C)
(This Form must be fully completed and submitted to the Agency when notified to do so by the Agency after the submittal deadline.)
(1) Prime( Sub-contractor( (This form must be completed by and for each).
(2) Name of Firm:
Telephone:
Fax:
Email:
(3) Street Address, City, State, Zip:
(4) Please attached a brief biography/resume of the company, including the following information: (a) Year Firm Established; (b) Year Firm Established in Montana; (c) Former Name and Year Established (if applicable); (d) Name of Parent Company and Date Acquired (if applicable).
(5) Identify Principals/Partners in Firm (submit under Tab No. 5 a brief professional resume for each):
[Table No. 1] (1)
Name (2)
Title (3)
% of Ownership
(6) Identify the individual(s) that will act as project manager and any other supervisory personnel that will work on project; please submit under Tab No. 5 a brief resume for each. (Do not duplicate any resumes required above):
[Table No. 2] (1)
Name (2)
Title
(7) Bidder Diversity Statement. You must mark all the following that apply to the ownership of this firm and enter where provided enter the correct percentage (%) of ownership of each:
( Caucasian
( Public-Held
( Government
( Non-Profit
American (Male) Corporation
Agency
Organization
Resident- (RBE), Minority- (MBE), or Woman-Owned (WBE) Business Enterprise (Qualifies by virtue of 51% or more ownership and active management by one or more of the following):
(Resident- (African (Native (Hispanic (Asian/Pacific (Hasidic (Asian/Indian
Owned* American American American American Jew American
(Woman-Owned (Woman-Owned (Disabled (Other (Specify):
(MBE) (Caucasian) Veteran
WMBE Certification Number:
Certified by (What Agency):
(NOTE: A CERTIFICATION/NUMBER IS NOT REQUIRED TO BID – ENTER IF AVAILABLE)
(8) Federal Tax ID No.:
(9) Local Business License No. (if applicable):
(10) State of Montana License Type and No. (if applicable):
(11) Federal License Type and No. (if applicable):
(12) Worker’s Compensation Insurance Carrier:
Policy No.:
Expiration Date:
(13) General Liability Insurance Carrier:
Policy No.
Expiration Date:
(14) Automobile Liability Insurance Carrier:
Policy No.
Expiration Date:
Signature
Date Printed Name Company
HomeFront, MT
File details come from the government source that posted it. Updated .