ATTACHMENT 16.5- Application Architect - QUALIFICATIONS FORM.pdf

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Attached to
Homeless Data Integration System - Maintenance and Operations (HDIS - M&O)
Solicitation number
0000039767
Issued by
California

About this file

This is a Key Staff Qualifications Form for an Application Architect position associated with RFP 27-ICH-001 issued by the State of California California Interagency Council on Homelessness, with a bidder response deadline of July 10, 2026. The form serves as a standardized template for bidders to document the qualifications and relevant project experience of proposed key staff members fulfilling the Application Architect role. Bidders may reference multiple projects to demonstrate cumulative experience meeting mandatory and desirable requirements, with a separate form required for each project cited. The form collects essential information including the bidder name, staff member name, project name, employing company, reference contact information, employment dates, work schedule status (full-time or part-time), project description, and contract amount.

The form establishes six mandatory experience requirements for the Application Architect position: five years of full-time equivalent (FTE) experience in business process analysis and requirements mapping; five years FTE in designing, configuring, implementing and testing system configuration items; five years FTE in designing and implementing data warehouse solutions in cloud environments; five years FTE with enterprise-level data analytics platforms; three years FTE in programming and database management using Snowflake; and three years FTE managing and delivering projects using Agile methodology and SCRUM framework. Additionally, three desirable scored requirements are included worth 100 points each: three years FTE experience in an integrated data warehouse environment with specified software components (multi-factor authentication, database management, hosting, security, project release management, software version control, master data management, and dashboard visualization); one year FTE with HMIS (Homeless Management Information System) or other public-benefit systems such as SNAP, TANF, or Medi-CAL; and one year FTE implementing government solutions at federal, state, or local levels. For each requirement, bidders must indicate whether experience was fully met (Yes), partially met (Partial), or not met (No), and provide detailed descriptions of how the staff member's work addresses each qualification component.

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ATTACHMENT 1- TEMPLATE FOR QUESTION SUBMITTAL_REQUEST FOR CHANGES.pdf PDF
EXHIBIT_A_-_COST_WORKSHEETS__HDIS_.xlsx XLSX spreadsheet
ATTACHMENT 3- INTENT TO BID.pdf PDF
Cal_ICH_-_HDIS_M_O.pdf PDF
ATTACHMENT 10- COMMERCIALLY USEFUL FUNCTION (CUF) CERTIFICATION.pdf PDF
CDT_STP_Request_For_Proposal.pdf PDF
ATTACHMENT 9- DVBE DECLARATIONS.pdf PDF
EXHIBIT I- TRANSITION OUT PLAN.pdf PDF
ATTACHMENT 16.9- Dashboard_Visualization Architect - QUALIFICATIONS FORM.pdf PDF
EXHIBIT H- TRANSITION IN PLAN.pdf PDF
EXHIBIT G- KEY STAFF REPLACEMENT.pdf PDF
ATTACHMENT 15- BIDDER REFERENCE FORM.pdf PDF
ATTACHMENT 16.10- Dashboard_Visualization Architect - REFERENCE FORM.pdf PDF
ATTACHMENT 12- WORKERS_ COMPENSATION CERTIFICATION.pdf PDF
ATTACHMENT 7- CONFIDENTIALITY STATEMENT.pdf PDF
ATTACHMENT 11- TACPA PREFERENCE REQUEST FORMS.pdf PDF
EXHIBIT C- WORK ORDER AUTHORIZATION.pdf PDF
ATTACHMENT 6- BIDDER DECLARATION GSPD 05-105.pdf PDF
ATTACHMENT 16.4- Systems Architect - REFERENCE FORM.pdf PDF
ATTACHMENT 4- FOLLOW-ON DISCLOSURE.pdf PDF
ATTACHMENT 16.3- Systems Architect - QUALIFICATIONS FORM.pdf PDF
ATTACHMENT 17- NARRATIVE RESPONSE.pdf PDF
ATTACHMENT 16.8- MDM Architect - REFERENCE FORM.pdf PDF
ATTACHMENT 16.6- Application Architect - REFERENCE FORM.pdf PDF
EXHIBIT E- SERVICE LEVEL AGREEMENT.pdf PDF
ATTACHMENT 14- BIDDER QUALIFICATIONS FORM.pdf PDF
EXHIBIT B- DELIVERABLES TABLE.pdf PDF
ATTACHMENT 16.7- MDM Architect - QUALIFICATIONS FORM.pdf PDF
ATTACHMENT 13- BIDDER QUALIFICATIONS FORM - INSTRUCTIONS.pdf PDF
EXHIBIT D- WOA ACCEPTANCE FORM.pdf PDF
ATTACHMENT 16- KEY STAFF QUALIFICATIONS FORM _ INSTRUCTIONS.pdf PDF
EXHIBIT F- SPECIAL TERMS_AND_CONDITIONS.pdf PDF
ATTACHMENT 19- APPENDIX A - STATEMENT OF WORK.pdf PDF
ATTACHMENT 18- GLOSSARY OF TERMS.pdf PDF
ATTACHMENT 16.1- Maintenance and Operations Manager - QUALIFICATIONS FORM.pdf PDF
ATTACHMENT 16.2- Maintenance and Operations Manager - REFERENCE FORM.pdf PDF
EXHIBIT A- COST WORKBOOK.pdf PDF
ATTACHMENT 8- BIDDING PREFERENCES AND INCENTIVES.pdf PDF
ATTACHMENT 2- COVER LETTER.pdf PDF
ATTACHMENT 5- RESPONSE TO ADMINISTRATIVE REQUIREMENTS.pdf PDF
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ATTACHMENT 16.5: Application Architect - QUALIFICATIONS

FORM

{STAFF} QUALIFICATIONS FORM

The Bidder may use multiple projects to meet the total experience required for each mandatory experience and, if applicable, desirable experience. A separate form must be completed for each project cited.

KEY STAFF QUALIFICATIONS FORM

1 Bidder:

2 Key Staff Name:

3 Project Name:

4 Name of Company for whom the Project was completed:

5 Contact Name and Information of Proposed Staff's Reference:

6 Staff Start Date (MM/DD/

YYYY):

7 Staff End Date (MM/DD/

YYYY):

8 Key Staff Work Schedule ☐ Full-time

☐ Part-time

9 Project Description:

10 Contract Amount: $

Documenting instructions when a minimum number of years of experience is required.

For each mandatory experience listed below, State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

July 10, 2026

KEY STAFF QUALIFICATIONS FORM

• Check “Yes” if the total years of experience was met on this referenced project; or

• Check “Partial” if fewer than the total years of experience was met on this referenced project; or

• Check “No” if none of the experience was met on this referenced project.

If "Partial" or "Yes" is checked, enter the years and/or months of “Experience gained on this referenced project” and describe the Key Staff's role and responsibilities performed on the project in the “Description of services provided” field. The Bidder must ensure that each description clearly addresses how the work performed on the project meets each of the minimum qualification components of the Mandatory Experience Requirement, as defined in each of the requirements.

[INSTRUCTIONS: Agency/state entity must add the Mandatory and/or Desirable Scored Requirements and the appropriate number tables for each requirement.]

Requirement Number

Classification Qualifications Total

Experience Required

Experience gained on this cited Project

12 Mandatory (M)

Experience in performing business process analysis, developing business requirements, mapping detailed business processes or requirements to proposed solution configuration elements

5 Years' FTE ☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Provide a description of the work performed on the cited project and how it meets this requirement:

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

Requirement Number

Classification Qualifications Total

Experience Required

Experience gained on this cited Project

13 Mandatory (M)

Experience in designing, configuring, implementing and testing system configuration items based on customer business process requirements.

5 Years' FTE ☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Classification Qualifications Total

Experience Required

Experience gained on this cited

Project

14 Mandatory (M)

Experience in designing and implementing data warehouse solutions in cloud environments.

5 Years'

FTE

☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Homelessness

RFP 27-ICH-001

Bidder Response

Classification Qualifications Total

Experience Required

Experience gained on this cited

Project

15 Mandatory (M)

Experience with Enterprise-level Data Analytics Platforms

5 Years'

FTE

☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Classification Qualifications Total

Experience Required

Experience gained on this cited

Project

16 Mandatory (M)

Experience in programming and database management using Snowflake

3 Years'

FTE

☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Homelessness

RFP 27-ICH-001

Bidder Response

Classification Qualifications Total

Experience Required

Experience gained on this cited

Project

17 Mandatory (M)

Experience managing and delivering projects using Agile methodology and SCRUM framework.

3 Years'

FTE

☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Classification Qualifications Total

Experience Required

Experience gained on this cited Project

18 Desirable Scored

(DS)

Experience working in an integrated data warehouse environment that has the following software components: multi-factor authentication, database management, hosting, security, project release management, software version control, master data management and dashboard visualization and reporting.

100 Points — Total Experience Met

3 Years' FTE ☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

Classification Qualifications Total

Experience Required

Experience gained on this cited Project

0 Point — Total Experience Not Met

Classification Qualifications Total

Experience Required

Experience gained on this cited Project

19 Desirable Scored

(DS)

Experience with HMIS (Homeless Management Information System) or other public-benefit systems designed to provide essential services or financial assistance to individuals or families in need. Examples include, but are not limited to:

SNAP, TANF, Medi-CAL and others.

100 Points — Total Experience Met

1 Year' FTE ☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

Classification Qualifications Total

Experience Required

Experience gained on this cited Project

Classification Qualifications Total

Experience Required

Experience gained on this cited

Project

20 Desirable Scored

(DS)

Experience in implementing government solutions (Federal, State or Local)

100 Points — Total Experience Met

1 Year' FTE ☐ Yes

Yr. ___ Mo.___

☐ Partial Yr. ___ Mo.___

☐ No

Provide a description of the work performed on the cited project and how it meets this requirement:

State of California California Interagency Council on Homelessness

RFP 27-ICH-001

Bidder Response

Classification Qualifications Total

Experience Required

Experience gained on this cited

Project

Homelessness

RFP 27-ICH-001

Bidder Response

ATTACHMENT 16.5: Application Architect - QUALIFICATIONS FORM
{STAFF} QUALIFICATIONS FORM

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