Attachment_3_-_Proposer_Questionnaire.docx

Attachment 3 Proposer Questionnaire and References Part I Proposer Information Name of Agency:

Headquarters Adress:

Mailing Address:

Office Phone No.:

Primary Contact Name & Title:

Primary Contact E-mail:

Primary Contact Cell Phone:

Back up Contact Name & Title:

Back up Contact E-mail:

Back up Contact Cell Phone:

Federal Tax ID:

Person Preparing Proposal:

Part II Proposer Questionnaire

1. Do you certify that you have complied and will continue to comply with “Limitation on Communications during this Solicitation” on page 9 of RFQ 0000012053?

2. Have you registered as a Bidder or Supplier, through the Supplier Portal (https://sfcitypartner.sfgov.org/)?

If yes, what is your Bidder ID or Supplier ID? _________________

3. Has your company enrolled with Paymode-X to receive electronic payments from the City?

https://www.paymode.com/city_countyofsanfrancisco

4. Have you registered your business with the San Francisco Treasurer & Tax Collector as required prior to submission of any Proposal?

Enter your Business Tax Registration ID here: __________________________________

5. Are you claiming LBE preference on this solicitation per Chapter 14B?

To claim LBE preference for this solicitation, you must be certified in one or more LBE certification categories by the Proposals Deadline.

6. Have you submitted with your Proposal all required Attachments that comply with the requirements of the accompanying solicitation document?

*Required for Minimum Qualifications

7. Do all subcontractors have at least three (3) years of experience in the technical fields outlined in this Solicitation?

8. Do you agree to provide a single primary point of contact for all work? Point of contact must have three (3) years of project manager/program manager experience.

9. Do you agree that your firm and its subcontractors meet all the minimum qualifications of 0000012053?

Part III Proposer Release of Liability for References The undersigned hereby fully and forever release, exonerate, discharge and covenant not to sue the City, its commissions and boards, officers and employees, and all individuals, entities and firms providing information, comments, or conclusions ("Reference Information") in response to inquiries that the City may make regarding the qualifications or experience of a Prime proposer, proposed joint venture partner, proposed subconsultant or proposed key/lead team member in connection with the selection process for 0000012053– Professional if-and-as-needed mitigation, abatement, remediation of hazardous materials, and related restoration services from and for any and all claims, causes of action, demands, damages, and any and all liabilities of any kind or description, in law, equity, or otherwise arising out of the provision of said Reference Information. This Release and Waiver is freely given and will be applicable whether or not the responses by said individuals, entities or firms are accurate or not, or made willfully or negligently.

Company Name

Signature of Authorized Representative of Company Date

Print Name and Title

Part IV.

Proposer Certification of Truth, Accuracy, and Completeness

I certify that based on information and belief formed after reasonable inquiry, the statements and information contained in this document are true, accurate, and complete. Additionally, by submitting this bid/proposal, I attest that I have reviewed and accepted all terms found in this solicitation, any and all addenda issued to this solicitation, and City’s contract terms.

Company Name

Signature of Authorized Representative of Company Date

Print Name and Title