7-Corporate Profile Rev.4.1.26.pdf
PDF 119 KB Posted
- Solicitation number
- 26-080
- Issued by
- Maryland
About this file
This is a Corporate Profile form issued by the Maryland Stadium Authority (MSA) for use in connection with an Invitation for Bids (IFB) for On-Call Security Video Repair & Maintenance 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 form requires prospective bidders to provide comprehensive firm information including federal identification number, point of contact details, regional office address, year founded, and Maryland Department of Transportation (MDOT) Minority Business Enterprise (MBE) certification status if applicable. Bidders must also disclose Maryland Small Business Reserve (SBR) program registration, primary business services, years of experience performing services, number of full-time employees at corporate and regional levels, and a narrative history of the firm. The form requires submission of gross sales data for the most recently completed three-year period for the specific regional or local office responsible for completing work under the solicitation.
The Corporate Profile form mandates submission of three project references from different projects, with contact information for each reference including project name, contact person title and company, and phone number and email. Bidders must disclose any contract failures, breaches, or litigation exceeding $100,000 in judgment or settlement value within the past five years, as well as any criminal litigation or investigations involving the firm. The form also requires disclosure of any incomplete projects within the past five years, submission of current certificates of insurance covering workers' compensation, employer's liability, commercial general liability, automobile liability, umbrella or excess liability, and property insurance, and documentation of any regulatory citations from federal or state OSHA within the past three years. Additionally, bidders must provide Workers' Compensation Experience Modification Rates (EMR) for the past four years or provide explanation if not applicable.
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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 .