4.0 - Attachment C (Profile of Firm Form).doc
DOC document 54 KB Posted
- Attached to
- P24001, HQS/NSPIRE Inspection Services
- Solicitation number
- P24001
- Issued by
- Gallatin County, Montana
About this file
This document is a Profile of Firm Form (Attachment C) for Request for Proposals (RFP) No. P24001 for HQS/NSPIRE Inspection Services issued by the state of Montana. The form is designed for potential contractors to provide comprehensive details about their company, including basic identification information, company history, principal ownership, project management personnel, and diversity status.
The form requires detailed submission of company specifics such as establishment year, principal ownership percentages, project management team credentials, and business diversity classifications. Proposers must provide documentation about their organizational structure, including federal and state licensing information, insurance carrier details (workers' compensation, general liability, and professional liability), and optional minority/woman-owned business enterprise (WMBE) certification. The form is part of a competitive bidding process for inspection services, with an emphasis on transparency and thorough vendor background disclosure.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 3.0 - Attachment B (HUD-5369-C).pdf | ||
| 2.0 - Attachment A (Form of Proposal).doc | DOC document | |
| 6.0 - Attachment E (HUD-5369-B).pdf | ||
| 8.0 - Attachment G (Sample Contract Form).doc | DOC document | |
| 1.0 - HQS-NSPIRE Inspection Services (RFP Document) 04-16-2024.doc | DOC document | |
| 8.2 - Attachment G-2 (HUD-50071).pdf | ||
| 7.0 - Attachment F (SIPC).doc | DOC document | |
| 5.0 - Attachment D (Section 3 Clause).pdf | ||
| 8.1 - Attachment G-1 (HUD-5370-C1).pdf | ||
| 8.3 - Attachment G-3 (SF-LLL).pdf |
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Text version
REQUEST FOR PROPOSALS (RFP) No. P24001, 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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