6-Attachment A.pdf

City of Detroit Office of Contracting and Procurement (OCP)

RFP#545307 Operation of Engagement Centers for the Care and Stabilization of Individuals Experiencing Acute Intoxication

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 RFP Process.

Single Point of Contact for RFP 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. Proposals by a partnership or teaming agreement shall list the full names and addresses of all parties to the teaming agreement 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. Unique Entity ID

f. State under which the entity is organized

Respondent Response

g. Non-profit, 501(c)(3) status

__ Yes __ No

h. Company phone number

i. Website address (if applicable)

j. Number of years in business

k. Average number of employees during each of the last three (3) years

l. Does your company have experience working with the City of Detroit? If so, please list the contracts or grants you have held with the City of Detroit for the last five (5) years

m. 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

n. Identify any projects in which your contract was terminated for any reason

o. Has your agency expended $750,000 or more in federal funds in one year? If yes, attach the agency’s latest Single Audit with reviewed financials from 2020 or later

___Yes, attached

___N/A

3. Statement of Qualifications (Respondent)

Experience with Engagement or Sobering Centers and Related Services

Respondent Response: Please follow the word limit. Responses significantly outside the word limit will lose points.

a. Describe your organization’s experience in providing acute care and stabilization services for individuals facing active substance use or acute intoxication.

(200-word limit)

Respondent Response: Please follow the word limit. Responses significantly outside the word limit will lose points.

b. Does your organization currently run an engagement center or similar service that accepts same-day or walk-in referrals from local providers (like shelters, outreach teams, homeless shelters, or community-based organizations?) If yes, please describe the services provided and how referrals are received and processed. If not, how does your experience prepare you to handle same-day walk-ins? List the municipalities where these services are located. List what type of service is provided at each location.

(300-word limit)

c. Describe your organization’s experience helping individuals who are unsheltered and have substance or alcohol use challenges.

Respondent Response: Please follow the word limit. Responses significantly outside the word limit will lose points.

d. Describe your organization’s experience running or working with programs that combine essential services for people with substance or alcohol use challenges, including crisis stabilization, harm reduction, housing services, and other necessary support services.

e. Describe how your organization ensures that clients are not excluded from services based on physical and mental health conditions, disability, family composition, gender identity, religious preference, etc.

Financial Management Capacity Respondent Response: Please follow the word limit. Responses significantly outside the word limit will lose points.

a. Describe your organization’s experience managing grant funds, including the scale of funding received, and the sources (e.g., federal, state, or local government;

philanthropic; etc.).

b. Describe your organization’s systems in place for financial management, including preventing financial conflicts of interest.

Describe your organization’s staffing and staff qualifications to provide financial management.

c. Describe your organization’s experience providing reporting on finances and program activities to meet grant requirements.

4. Prior Experience (Respondent) List at least two (2) references who can speak to your work on 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 RFP, 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/yr. – mm/yr.)

i. Description of Services Provided

Reference Form #2 Respondent Response

Financial Management Capacity Respondent Response: Please follow the word limit. Responses significantly outside the word limit will lose points.

d. This contract operates on a monthly reimbursement basis.

Does your organization have at least 90 days of operating cash on hand?

If not, how will you adjust to ensure services continue while waiting on reimbursement?

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

5. 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, a description of the goods/services they will supply, and a description of their relevant experience.

Also, complete the Subcontractor Reference Form provided below for each subcontractor.

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 proposal.

Subcontractor Reference Form Respondent Response

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