6-Attachment A - Respondent Questionnaire RFP.pdf

PDF 155 KB Posted

Attached to
Emergency Medical Services for Casinos
Solicitation number
545368
Issued by
Wayne County, Detroit City, Michigan

About this file

This is a Respondent Questionnaire attachment for a Request for Proposal (RFP) issued by the City of Detroit Office of Contracting and Procurement (OCP) on behalf of the Detroit Fire Department for Emergency Medical Services at three casinos in Detroit, Michigan. The RFP seeks qualified respondents to provide standby Emergency Ambulance Coverage at Greektown, MGM, and Motor City Casinos for a three-year contract period. The questionnaire requires respondents to provide comprehensive organizational and experience information to demonstrate their capacity to perform services of similar size and scope.

The questionnaire is structured in two main parts: Respondent Experience/Organization and Respondent Capacity. Part 1 requires respondents to submit contact information for their sole point of contact and project manager, complete background information including business entity designation, Federal Employer Identification Number, years in business, and employee history, and provide documentation of prior experience working with the City of Detroit. Respondents must disclose any claims, lawsuits, contract terminations, and debarment or suspension status for their organization and proposed subcontractors. The form also requires at least three references from the last five years demonstrating relevant project experience. Part 2 requires documentation of organizational capacity and staffing, including an organization chart, resumes for key personnel, number of dedicated employees, and employee experience relevant to the contract scope. Subcontractors must also meet the same qualification and reference requirements, and respondents must verify that all proposed subcontractors are not on the City of Detroit's debarred and suspended suppliers list.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

City of Detroit Office of Contracting and Procurement (OCP)

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

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 Solicitation 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 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.

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

Respondent Response

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.

m. Disclose the full legal names of any individuals or entities with any personal or financial interest in your company or any proposed subcontractors or suppliers who are currently or have ever been debarred or suspended by the City of Detroit, any Federal Agency, any State Agency or any sub-state public entity.

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 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/yy – mm/yy)

i. Description of Services Provided, including how the services are similar in size and scope to the RFP requirements

j. Identify respondent’s key personnel that worked on this project

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

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 RFP requirements

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

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 RFP requirements

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

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 proposal.

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 https://detroitmi.gov/government/office-inspector-general/debarment-information https://detroitmi.gov/government/office-inspector-general/debarment-information

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

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 scope and scale to the RFP requirements

Request for Proposal – #5XXXX Title

Revised 12/2/2025.

PART 2 – RESPONDENT CAPACITY

5. Respondent Capacity and Staffing

[Read and delete: review questions and include this table if you are seeking details on staffing.]

The Respondent must submit documentation indicating their capacity to perform the variety of services described in this RFP. Documentation should indicate, at a minimum, the following:

a. Respondent shall provide an organization chart indicating the key personnel who will provide services resulting from this RFP.

b. Respondent shall provide a resume for each of the key personnel who will provide services resulting from this RFP.

[Read and delete: These capacity questions are additional examples from RFP’s to consider using or modifying. Delete those that are not applicable to your RFP]

c. Respondent shall indicate the quantity of employees that can be dedicated these services.

d. Respondent shall indicate the experience and of listed employees.

Attachment A – Respondent Questionnaire

File details come from the government source that posted it. Updated .