Attachment A - Vendor Data Sheet.pdf
PDF 159 KB Posted
- Solicitation number
- RFP-116165
- Issued by
- Clarke County, Virginia
About this file
Attachment A is a Vendor Data Sheet form for RFP #2026-FA01 issued by the Culpeper County Board of Supervisors in Virginia for forensic financial review and auditing services. The County seeks a qualified firm to conduct a comprehensive one-time forensic audit of all County accounts, financial records, financial operations, and procurement practices covering fiscal years 2022 through 2026 year-to-date. The engagement will examine potential instances of waste, fraud, and abuse; evaluate compliance with applicable laws and regulations; assess internal controls; and provide prioritized recommendations for improvement. Questions must be submitted by March 27, 2026 at 5:00 p.m. EDT, with proposals due April 2, 2026 at 2:00 p.m. EDT. The anticipated evaluation period is April 22-May 2, 2026, with oral presentations tentatively scheduled for the week of May 4, 2026, and anticipated Board award on May 6, 2026. Services are to commence immediately upon contract execution and be substantially completed within 120 calendar days.
Required qualifications include Virginia CPA licensure, current CPA licensure and forensic credentials (CFE, CFF, or MAFF) for the engagement partner and senior manager, at least three completed forensic audit engagements for local government entities within the past seven years with at least two in Virginia, and professional liability insurance of $2,000,000 per occurrence and $4,000,000 aggregate. The Vendor Data Sheet requests firm information including legal name, business classification status, professional licenses and certifications, insurance confirmation, and authorization for contractual representation. No specific award value or budget range is disclosed. The RFP contains no set-aside designations, incumbent vendors, or restrictions on organizational types that can respond. Proposals may be submitted electronically via eVA or as hard copies to the Office of the County Attorney, with cost proposals submitted separately including hourly rates by staff classification, estimated total hours and not-to-exceed fees, and expert testimony rates if applicable.
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Text version
ATTACHMENT A FORENSIC FINANCIAL REVIEW AND AUDITING SERVICES RFP #2026-FA01
Attachment A — RFP #2026-FA01 — Culpeper County, Virginia
ATTACHMENT A
Vendor Data Sheet
Culpeper County, Virginia
Instructions: Complete all fields below. This form must be submitted with the proposal. Incomplete submissions may be deemed non-responsive.
1. FIRM INFORMATION
Legal Name of Firm: ____________________________________________________________
DBA (if applicable): ____________________________________________________________
Street Address: ____________________________________________________________
City, State, ZIP: ____________________________________________________________
Mailing Address (if different):
Main Telephone: ____________________________________________________________
Firm Website: ____________________________________________________________
Year Established: ____________________________________________________________
Type of Organization (Corporation, LLC, Partnership, Sole Proprietorship, Other):
State of Incorporation/Organization:
Federal Employer Identification Number (FEIN):
DUNS Number: ____________________________________________________________
UEI (Unique Entity Identifier):
Virginia SCC Identification Number:
eVA Vendor Registration Number:
2. PRIMARY CONTACT FOR THIS SOLICITATION
Contact Name: ____________________________________________________________
Title: ____________________________________________________________
Telephone: ____________________________________________________________
Email Address: ____________________________________________________________
3. AUTHORIZED REPRESENTATIVE
The individual identified below is authorized to bind the firm contractually and to execute agreements on its behalf.
Name: ____________________________________________________________
Title: ____________________________________________________________
Telephone: ____________________________________________________________
Email Address: ____________________________________________________________
4. PROFESSIONAL LICENSES AND CERTIFICATIONS
Virginia Board of Accountancy License Number:
License Status (Active/Inactive/Temporary):
Peer Review Completion Date (most recent):
5. INSURANCE CONFIRMATION
Professional Liability (E&O) Carrier:
Per Occurrence Limit: ____________________________________________________________
Aggregate Limit: ____________________________________________________________
Policy Expiration Date: ____________________________________________________________
6. BUSINESS CLASSIFICATIONS (check all that apply)
☐ Small Business (SWaM-certified by Virginia DSBSD)
☐ Minority-Owned Business
☐ Woman-Owned Business
☐ Service-Disabled Veteran-Owned Business
☐ None of the above
SWaM Certification Number (if applicable):
CERTIFICATION
I certify that the information provided on this Vendor Data Sheet is true, complete, and accurate to the best of my knowledge. I understand that any material misrepresentation may result in disqualification from this procurement or termination of any resulting contract.
Signature:
Printed Name:
Title:
Date:
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