9-Attachment A - Respondent Questionnaire (RFQ).pdf

City of Detroit Office of Contracting and Procurement (OCP)

Request for Quote – #540398 EMS Supply and Service

Revised 8/22/23.

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.

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.

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

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

j. Identify respondent’s key personnel

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

j. Identify respondent’s key personnel

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

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

f. Contact Person Phone Number

g. Contact Person E-mail Address

h. Dates of Service (mm/yy – mm/yy)

i. Description of Services Provided

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 RFQ. 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 RFQ.

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

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

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