4.0 - Attachment C (Profile of Firm Form).doc
DOC document 52 KB Posted
- Attached to
- On Call Remediation & Abatement Services
- Solicitation number
- B24005
- Issued by
- Gallatin County, Montana
About this file
This document is a Profile of Firm Form for Invitation for Bids (IFB) No. B24003 issued by HomeFront in Montana for On-call Remediation & Abatement Services. The IFB aims to create a pool of contractors to perform work across properties owned by the agency. The form requires detailed information from potential bidders, including company background, principal/partner details, project management personnel, and diversity status.
The form captures comprehensive firm information, including establishment year, ownership structure, and business diversity classifications. Bidders must provide details on business ownership percentages, including options for Resident-Owned (RBE), Minority-Owned (MBE), and Woman-Owned (WBE) Business Enterprises. Additional required information includes federal and local business license numbers, state and federal licensing, insurance carrier details for workers' compensation, general liability, and automobile liability coverage. Notably, certification is not mandatory for bidding, and the document provides flexibility for various business ownership configurations.
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Text version
INVITATION FOR BIDS (IFB) No. B24003, On-call Remediation & Abatement Services
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 .