Attachment #1 - Respondent Information Form.docx
DOCX document 90 KB Posted
- Attached to
- HSEM Disaster Case Management
- Solicitation number
- RFP-185-2517-2025
- Issued by
- Polk County, Iowa
About this file
The document is an Attachment #1 Respondent Information Form for Solicitation No. 185-2517-2025, issued by the State of Iowa's Homeland Security and Emergency Management (HSEM) department for a Disaster Case Management solution. The solicitation seeks a comprehensive system to combine and automate case advocacy and assistance grant program operations specifically for disaster response scenarios. The form requires potential respondents to provide detailed business information, including legal business name, contact details, business structure, years in operation, employee count, and tax identification numbers.
The procurement opportunity appears to be focused on selecting a vendor to provide a technological solution for managing disaster case management processes. Respondents are required to disclose whether they plan to use subcontractors, with instructions to submit an additional Subcontractor Disclosure Form if applicable. The form suggests the state is seeking a robust, experienced provider with demonstrated capability in emergency management technology solutions. While specific pricing terms are not detailed in this attachment, the comprehensive information request indicates a thorough vetting process for potential contractors, with an emphasis on understanding the respondent's organizational capacity and technical capabilities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment #5 - RFP 185-2517-2025 Sample Contract.docx | DOCX document | |
| Attachment #5 - Sample Contract.docx | DOCX document | |
| 1333145-event.pdf | ||
| Attachment #3 - Subcontractor Disclosure Form.docx | DOCX document | |
| Attachment #4 - RFP 185-2517-2025 Cost Proposal Form.xlsx | XLSX spreadsheet | |
| RFP 185-2517-2025 HSEM Disaster Case Mgmt.pdf | ||
| Attachment #4 - Cost Proposal Form.xlsx | XLSX spreadsheet |
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
Solicitation No. 185-2517-2025
Title: HSEM Disaster Case Management
Attachment #1: Respondent Information
Primary Contact Information (an individual who can address issues re: this Proposal)
Name:
Address:
Tel:
Fax:
E-mail:
Respondent Detail
Business Legal Name (“Respondent”):
“Doing Business As” names, assumed names, or other operating names:
Parent Corporation Name and Address of Headquarters, if any:
Form of Business Entity (i.e., corp., partnership, LLC, etc.):
State of Incorporation/organization:
Primary Address:
Phone:
Local Address (if any):
Addresses of Major Offices and other facilities that may contribute to performance under this RFP/Contract:
Number of Employees:
Number of Years in Business:
Primary Focus of Business:
Federal Tax ID:
UEI #:
If the Respondent is currently registered to do business in Iowa, provide the Date of Registration:
Do you plan on using subcontractors if awarded this Contract? {If “YES,” submit Attachment 2 - Subcontractor Disclosure Form for each proposed subcontractor.} image1.jpeg
File details come from the government source that posted it. Updated .