4.0_Profile_of_Firm_Form.pdf
PDF 72 KB Posted
- Attached to
- RFQ for Architectural/Engineering Services
- Solicitation number
- RFQ-2024-01
- Issued by
- Marin County, San Francisco City, California
About this file
The document is a Profile of Firm Form (Attachment 4.0) for RFP 2024-01 for Architectural and Engineering Services issued by the Marin Housing Authority (MHA). The form is designed for prospective prime or sub-contractors to provide comprehensive information about their firm, including company details, principal/partner information, project management personnel, and company diversity characteristics. The RFP seeks architectural and engineering services for various general construction and rehabilitation projects, with an immediate focus on two urgent infrastructure needs: exterior lighting upgrades at the Golden Gate Village complex involving replacement of 524 existing light fixtures with energy-efficient LED systems, and a comprehensive mapping and evaluation of existing irrigation systems.
The form requires detailed firm documentation, including company biography, ownership percentages, business classification (such as minority-owned, woman-owned, or veteran-owned), insurance details, and licensing information. While no specific pricing terms are outlined in this form, the document provides a framework for MHA to assess potential contractors' qualifications, organizational structure, and diversity credentials. The RFP indicates MHA manages multiple housing developments, including ten HUD public housing properties, four non-HUD funded properties, 100 Tax Credit Units, and over 3,200 Section 8 Tenant Housing Vouchers, suggesting a comprehensive approach to housing management and infrastructure improvement.
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Text version
RFP 2024-01 Architect and Engineer Services
PROFILE OF FIRM FORM
(RFP Attachment 4.0)
Signature Date Printed Name Company
Marin Housing Authority
(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 State; (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
RFP 2024-01 Architect and Engineer Services
PROFILE OF FIRM FORM
(RFP Attachment 4.0)
Signature Date Printed Name Company
Marin Housing Authority
(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 California 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:
| (1) Prime( Sub-contractor( (This form must be completed by and for each). |
| (12) Worker’s Compensation Insurance Carrier: |
| (2) |
| (1) |
| Title |
| Name |
| (2) |
| (1) |
| Title |
| Name |
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