ATTACHMENT_A.pdf

09/01/2020

ATTACHMENT A

SOLICITATION NO. EV00000546

This Solicitation is a Contract Document and is a request for proposal in connection with the Contract awarded by the Office of Management and Enterprise Services as more particularly described below. Any defined term used herein but not defined herein shall have the meaning ascribed in the General Terms or other Contract Document.

PURPOSE

The Contract is awarded on behalf of the Oklahoma Department of Environmental Quality for a qualified research university-led Team of scientists and professionals with experience in the State for the purpose of defining the Study scope and conducting work necessary to complete data collection and the development of the Blue River-Little Blue Creek Stream Health Assessment Study.

1. Contract Term and Renewal Options

The initial Contract term, which begins on the effective date of the Contract, is one year and there are three (3) one-year options to renew the Contract. The contract may be renewed at the same terms and conditions but does not automatically new.

Funds are encumbered per year and renewals will in instated through an amendment.

2. Supplier Experience Survey

Section 1: COMPANY INFORMATION

Vendor name (or branch office): Click or tap here to enter text.

Vendor name if a branch or subsidiary office: Click or tap here to enter text.

Year Established: Click or tap here to enter text.

Business Mailing address: Click or tap here to enter text.

CityClick or tap here to enter text. State Click or tap here to enter text. ZIP code: Click or tap here to enter text.

Former vendor/branch office name(s) (if any) and year each established: Click or tap here to enter text.

Specific type of ownership: Click or tap here to enter text.

Section 2: COMPANY PROFILE

Vendor type Click or tap here to enter text.

List all related licenses or certificates of authority: Click or tap here to enter text.

Primary point of contact name: Click or tap here to enter text.

Title: Click or tap here to enter text.Email: Click or tap here to enter text.Phone: Click or tap here to enter text.

Secondary point of contact name: Click or tap here to enter text.

Title: Click or tap here to enter text.Email: Click or tap here to enter text.Phone: Click or tap here to enter text.

Present offices (all offices include headquarters or foreign branches): Click or tap here to enter text.

Location: Click or tap here to enter text. total personnel: Click or tap here to enter text.

Phone: Click or tap here to enter text.

Total personnel (all offices include headquarters or foreign branches): Click or tap here to enter text.

Vendor’s project experience (up to last five years):

Project name Project type Contract amount

Complete or ongoing

Owner organization Owner contact

Complete Ongoing

List the categories of work your company normally performs with its own forces (does not include subcontractors or other secondary employment)

Claims and suits (if you answer Yes to any of these questions, you must attach details to this form to remain considered for the registration process.):

1. Has your organization ever failed to complete any work awarded to it? ☐Yes ☐No

2. Are there any judgments, claims, arbitration proceedings, mediations, or suits (both pending or outstanding) against your organization or its officers? ☐Yes ☐No

3. Has your organization filed any lawsuits, mediations, or requested arbitration regarding construction or related contracts within the last five years? ☐Yes ☐No

4. Has any officer or principal within your organization been an officer or principal of another organization when it failed to complete a construction or related project in the last five years?

☐Yes ☐No