4.0 - Attachment C (Profile of Firm Form).doc

DOC document 53 KB Posted

Attached to
Inventory Management Systms
Solicitation number
Q24001
Issued by
Gallatin County, Montana

About this file

This document is a Profile of Firm Form for Request for Qualifications (RFQ) No. Q24001 issued by HomeFront in Montana for an Inventory Management Systems project. The RFQ requires proposers to submit a comprehensive firm profile, including company history, principal information, project management personnel, and diversity details. Proposers must provide information such as year established, ownership structure, key personnel resumes, and certification status under specific tabs of their proposal submission.

The form seeks detailed business information including federal and state licensing, insurance coverage (worker's compensation, general liability, and professional liability), and ownership diversity breakdown. Proposers are required to specify ownership percentages across categories such as business enterprise types (Resident-Owned, Minority-Owned, Woman-Owned), and provide tax identification and business license numbers. The document emphasizes that certification is not mandatory for proposing but encourages firms to demonstrate their organizational characteristics and capabilities in responding to the Inventory Management Systems opportunity.

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Text version

REQUEST FOR QUALIFICATIONS (RFQ) No. Q24001, Inventory Management Systems

PROFILE OF FIRM FORM

(RFQ 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.:

(11) Federal License Type and No.:

(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

HomeFront, MT

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