4.0 - Attachment C (Profile of Firm Form).doc
DOC document 54 KB Posted
- Attached to
- P24002, HQS/NSPIRE Inspection Services
- Solicitation number
- P24002
- Issued by
- Gallatin County, Montana
About this file
This document is a Profile of Firm Form for Request for Proposals (RFP) No. P24002 for HQS/NSPIRE Inspection Services issued by the state of Montana. The form requires detailed information about a potential contractor, including company background, ownership structure, key personnel, and certification status for a proposed inspection services contract.
The form captures comprehensive company details such as business ownership percentages, diversity classifications, principal/partner information, project management personnel, insurance coverage, and licensing credentials. While specific contract details are not fully elaborated in this attachment, the document serves as a critical component of the proposal submission process, requiring vendors to provide detailed organizational information under specific tabbed sections of their response. The form allows for multiple ownership categories including minority-owned, woman-owned, veteran-owned, and other diverse business enterprise classifications, with options to specify ownership percentages across different demographic categories.
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Other files
| File | Type | Posted |
|---|---|---|
| 8.0 - Attachment G (Sample Contract Form).doc | DOC document | |
| 3.0 - Attachment B (HUD-5369-C).pdf | ||
| 5.0 - Attachment D (Section 3 Clause).pdf | ||
| Attachment #1 (P24002) Table No. 4.doc | DOC document | |
| 8.2 - Attachment G-2 (HUD-50071).pdf | ||
| 6.0 - Attachment E (HUD-5369-B).pdf | ||
| 8.3 - Attachment G-3 (SF-LLL).pdf | ||
| 7.0 - Attachment F (SIPC).doc | DOC document | |
| 8.1 - Attachment G-1 (HUD-5370-C1).pdf | ||
| 2.0 - Attachment A (Form of Proposal).doc | DOC document | |
| 1.0 - HQS-NSPIRE Inspection Services (RFP Document) 05-06-2024.doc | DOC document |
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Text version
REQUEST FOR PROPOSALS (RFP) No. P24002, HQS/NSPIRE Inspection Services
PROFILE OF FIRM FORM
(RFP Attachment C)
(This Form must be fully completed and placed under Tab No. 3 of the “hard copy” tabbed proposal submittal.)
(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) Proposer 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 (Agency):
(NOTE: A CERTIFICATION/NUMBER IS NOT REQUIRED TO PROPOSE – 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) Professional Liability Insurance Carrier:
Policy No.
Expiration Date:
Signature
Date Printed Name Company
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