5-Corporate Profile Rev.4.1.26.pdf
PDF 119 KB Posted
- Attached to
- Access Controls - On-Call Services Contract
- Solicitation number
- 26-061
- Issued by
- Maryland
About this file
This is a Corporate Profile form issued by the Maryland Stadium Authority (MSA) for use in conjunction with an Invitation for Bids (IFB) for on-call Access Controls Services at the Camden Yards Sports Complex (CYSC), which encompasses Oriole Park at Camden Yards, the Warehouse at Camden Yards, Camden Station, and M&T Bank Stadium. The Corporate Profile form, revised as of April 26, serves as a standardized questionnaire requiring prospective bidders to provide comprehensive information about their firm, including contact information, business background, years of operation, employee counts, and gross sales data for the most recently completed three-year period. Bidders must also supply three project references from different projects, with references not to include MSA staff members, and provide documentation of current insurance coverage across multiple categories including workers' compensation, employer's liability, commercial general liability, automobile liability, umbrella or excess liability, and property insurance.
The form additionally requires bidders to disclose Maryland Department of Transportation (MDOT) Minority Business Enterprise (MBE) certification status, registration with the Maryland Small Business Reserve (SBR) program, and detailed information regarding any contract failures, breaches, civil litigation, or criminal investigations exceeding $100,000 in judgment or settlement value within the past five years. Bidders must also report any incomplete projects from the previous five-year period, regulatory citations from federal or state OSHA within the last three years, and Workers' Compensation Experience Modification Rates (EMR) for the preceding four years, with explanations required if EMR is not applicable. The form requires certification by the preparer, including name, title, signature, and date.
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Text version
Rev. 4/26
Corporate Profile
Firm Contact Information
Firm Name: _______________________
Federal ID Number: _______________________
Point of Contact: _________________ Phone Number: _______________
Regional Office Address: _________________________
Firm Background Information
Year Firm Founded: _______________
Is the firm MDOT MBE Certified? ______ If certified, provide the certification number and minority status.
Is the firm registered with the Maryland small business reserve program (SBR)?
_________ If yes, provide the active registration number.
Primary Business/Service Provided: ______________________________
Number of Years Performing Services: __________________________
Number Full Time Employees (Corporate/Regional Office): ________/_________ Provide a brief narrative outlining the firm’s history.
Provide gross sales of the business for the most recently completed three-year period.
Note that information provided is to be for the regional / local office that would be responsible for completing work under this solicitation.
Year Gross Sales
Firm References
Provide three (3) references. Note that references are to be from different projects; that is, only one reference per project is allowed. MSA staff members cannot be considered as a firm's reference.
Project Name:______________________
Name: _______________________ Title: _______________________ Company Name: _______________________ Phone Number and email: _______________________ Project Relationship: _______________________
Project Name:______________________
Name: _______________________ Title: _______________________ Company Name: _______________________ Phone Number and email: _______________________ Project Relationship: _______________________
Project Name:______________________
Name: _______________________ Title: _______________________ Company Name: _______________________ Phone Number and email: _______________________ Project Relationship: _______________________
Disclosure of Contract Issues; Litigation; Criminal Investigations
In the last five years, list and discuss any alleged prior or ongoing contract failures (potential judgment/settlement in excess of $100,000), contract breaches (potential judgment/settlement in excess of $100,000), other significant civil litigation, and all criminal litigation or investigations, which involved your firm.
Failure to Complete
In the last five (5) years, disclose any projects that your firm was involved with that were not completed.
Insurance
Include current certificates of insurance showing the limits of liability maintained by your firm in each of the following categories: workers’ compensation, employer’s liability, commercial general liability, automobile liability, umbrella or excess liability, and property insurance.
Safety
Have you received any regulatory citations (e.g. federal or state OSHA) in the last three years? ________
If yes, provide explanation:
Provide your Workers’ Compensation Experience Modification Rates (EMR) for the last 4 years
Year EMR
If EMR not applicable, provide explanation
Prepared By:
Name: ________________________________
Title: __________________________________
Signature: _____________________________
Date: _________________________________
| Corporate Profile |
| Firm Contact Information |
| Firm Background Information |
| Provide three (3) references. Note that references are to be from different projects; that is, only one reference per project is allowed. MSA staff members cannot be considered as a firm's reference. |
File details come from the government source that posted it. Updated .