4-RFQ 542299 - Attachment A - Respondent Questionnaire (RFQ).docx
DOCX document 63 KB Posted
- Solicitation number
- 542299, 1
- Issued by
- Wayne County, Detroit City, Michigan
About this file
This is a Respondent Questionnaire attachment to a Request for Quote (RFQ) #542299 issued by the City of Detroit Office of Contracting and Procurement (OCP) on behalf of the Detroit Health Department (DHD) for IT Equipment to support the Birthing Futures Workforce Institute, a grant-funded project. The questionnaire does not specify quantities, response dates, due dates, site visits, bidder conferences, award dates, or contract terms; instead, it functions as an evaluation document requiring respondents to provide detailed organizational and experience information. Respondents must submit comprehensive contact information for a single point of contact and project management personnel, along with organizational background details including legal business name, address, business entity type, FEIN, years in business, and employee counts for the preceding three years.
The questionnaire requires respondents to demonstrate relevant experience through at least three project references from the last five years of similar size and scope, including detailed contact information and service descriptions for each reference. Additionally, respondents must disclose any prior City of Detroit contracts, claims, lawsuits, or terminated contracts from the preceding ten years. If subcontractors are proposed, respondents must verify they are not on the City of Detroit's debarred and suspended suppliers list, provide subcontractor details and the percentage of work they will perform, and submit at least one reference demonstrating the subcontractor's relevant experience. The document provides no information regarding pricing, set-asides, incumbents, funding amounts, or other financial considerations.
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City of Detroit Office of Contracting and Procurement (OCP) Request for Quote – #542299 DHD IT Equipment
Attachment A – Respondent Questionnaire
PART 1 – RESPONDENT EXPERIENCE / ORGANIZATION
1. Respondent’s Contact Information
Complete the following table for your Sole Point of Contact During RFQ Process.
| Single Point of Contact for RFQ |
| Respondent Response |
a. Name
b. Title
c. Address
d. E-mail
e. Phone Number
Complete the following table for your firm’s Partner and or Manager(s) that will be in charge of this project if awarded.
| Partner and or Manager Contact Details |
| Respondent Response |
a. Name
b. Title
c. Address
d. E-mail
e. Phone Number
2. Respondent Background Information
Complete this table with your background information. Quotes by a partnership or joint venture shall list the full names and addresses of all parties to the joint venture by completing this table for all parties.
Respondent Response
a. Full legal business name.
b. Full legal business address of the firm’s principal place of business and, if different, the location of the place of performance of the contract.
c. Business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.
d. Current tax status and Federal Employer Identification Number (FEIN) (if applicable).
e. State company formed in.
f. Company phone number.
g. Website address (if applicable).
h. Number of years in business.
i. Average number of employees during each of the last three (3) years.
j. Does your company have experience working with the City of Detroit? If so, please list the contracts you hold or have held with the City of Detroit for the last 5 years.
k. Identify any claims or lawsuits that have been brought against your organization as a result of any services provided within the last ten (10) years.
l. Identify any projects in which your contract was terminated for any reason.
3. Prior Experience (Respondent) Describe at least three (3) relevant experiences from the last five (5) years supporting your ability to successfully manage a contract of similar size and scope for the work described in this RFQ, by completing the table(s) below.
| Reference Form #1 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided, including how the services are similar in size and scope to the RFQ requirements j.
k. Identify respondent’s key personnel working on this project (if applicable)
| Reference Form #2 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided, including how the services are similar in size and scope to the RFQ requirements
j. Identify respondent’s key personnel working on this project (if applicable)
| Reference Form #3 |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided, including how the services are similar in size and scope to the RFQ requirements
j. Identify respondent’s key personnel working on this project (if applicable)
4. Respondent’s Subcontractor(s) Prior Experience (if applicable)
| Question |
| Respondent Response |
a. Do you intend to utilize any subcontractors?
If yes, provide their legal business name and address, and a description of the goods/services they will supply. Also complete the Subcontractor Reference Form provided below for each subcontractor.
Has Respondent ensured proposed subcontractor(s) are not on the City of Detroit’s list of debarred and suspended suppliers?
No debarred contractor is eligible to serve as a subcontractor or as a goods, services or materials supplier for any contract. https://detroitmi.gov/government/office-inspector-general/debarment-information
Subcontractor’s Legal Business Name
Subcontractor’s Business Address
Description of goods/services to be provided by the Subcontractor
Percentage of work to be completed by Subcontractor
Number of Similar Projects the Respondent and Subcontractor have completed together
Description of Similar Projects the Respondent and Subcontractor have completed together
If applicable, describe below at least one (1) relevant experience from the last five (5) years supporting your subcontractor’s ability to successfully perform similar work as set forth in your company’s Quote.
| Subcontractor Reference Form |
| Respondent Response |
a. Name of Reference (Company Name)
b. Project Name/Title
c. Client Location
d. Contact Person Name
e. Contact Person Title
f. Contact Person Phone Number
g. Contact Person E-mail Address
h. Dates of Service (mm/yy – mm/yy)
i. Description of Services Provided
Revised 8/22/23.
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