Attachment_'B-2'_Company_Qualifications_Form_PR8458.docx

Attachment 'B-2'

BIDDER INFO & QUALIFICATIONS

1. Supplier shall provide the following background data on their firm.

Firm Name Name of Parent Company Complete Business Address

State of Incorporation Name, Address, and Telephone and Mobile Number of Contact Personnel

If yes, explain which one

Provide your current license information.

(Provide a copy of your firms business licensees with your response).

11. Suppliers shall provide evidence of performing gas meter yard maintenance for power plant/major industrial/commercial facilities on at least three (3) Projects in which the scope of work was of equal or greater complexity to that noted in the scope of work within this RFP. Such projects shall have been completed in the past 5 years. Use the format provided below for each project.

Reference #1 Customer Owner/Plant/Engineer____________________________________________ Project Name Contract Term________________________________________________ Contracting Method (lump sum/cost reimbursable) Contract Value______________________________________________ Change Order Value____________________________________________ Date Completed Reference (Name/Telephone/Email/Company) Description of Work Performed Dollar Percentage of work performed by subcontractors Dollar Percentage of work performed by minority and or women owned subcontractors. ___________________________________________________________________________ Reference #2

Customer Owner/Plant/Engineer____________________________________________ Project Name Contract Term________________________________________________ Contracting Method (lump sum/cost reimbursable) Contract Value______________________________________________ Change Order Value____________________________________________ Date Completed Reference (Name/Telephone/Email/Company) Description of Work Performed Dollar Percentage of work performed by subcontractors Dollar Percentage of work performed by minority and or women owned subcontractors. ___________________________________________________________________________ Reference #3

Customer Owner/Plant/Engineer____________________________________________ Project Name Contract Term________________________________________________ Contracting Method (lump sum/cost reimbursable) Contract Value______________________________________________ Change Order Value____________________________________________ Date Completed Reference (Name/Telephone/Email/Company) Description of Work Performed Dollar Percentage of work performed by subcontractors Dollar Percentage of work performed by minority and or women owned subcontractors. ___________________________________________________________________________

12. Provide a brief description of current technical and management capabilities to perform the work. Such description shall include staff availability to perform project management and field management in connection with the work. Include relevant power plant/industrial/commercial experience of such personnel. Include resumes of key personnel – site and office. Also, include any and all certifications they may have as it relates to gas meter yard maintenance.

(Provide a copy of your firm’s Organizational Chart with your response)

13. Provide a listing of all certifications specific to the types of services being requested in this RFP.______________________________________________________________

14. Provide a brief description of your current workload.

15. Indicate your Workman’s Compensation Experience Modification Rating for the last 3 years.________________________________________________

16. Indicate:

17. Provide a copy of your Quality Assurance/Control Program

18. Provide a copy of your Safety Program.

19. Is your company currently involved in any unsettled litigation? Yes ( ) No ( ) If yes, please explain.

20. Has your company ever been issued a warning or violation by a regulatory agency for noncompliance with Federal or State regulations?

Yes ( ) No ( ) Date(s) __________________________________________ Describe:

21. Does your company have employee incentive programs to reward safety, productivity, quality, performance, and/or longevity? If so, describe.

22. List addresses of all locations that dispatch workers in the Central Florida Area including Orange, Brevard, & Osceola Counties.

23. Questions

a. Have you ever had a contract terminated? If yes, provide the name of the company, when the event happened, and reasons.

b. Has the Company ever been in a lawsuit where the company or one of its employees were accused of a wrong doing? If yes, provide name of plaintiff, when the event occurred and reasons.

d. Do you have a Training Program for your employees?

Yes ( ) No ( ) If yes, please provide an outline or attach a copy of program

e. Does your company have an affirmative action plan in utilizing small business/minority/disadvantaged entrepreneur and local participation in pre-qualifying vendors and subcontractors? Describe plan and provide possible recommendations to promote the hiring and training of minority/disadvantage workers.

24. Does your company have a program to ensure that all Federal, State and local regulations are followed in the handling, storage and disposal of hazardous material?

Yes ( ) No ( ) If yes, please provide outline of program.

25. Does your firm have a Drug Free Workplace Policy? (Yes or No). If yes, provide a brief summary.

26. Is your Firm capable of the following employee pre-screening requirements:

· Drug Screening Tests Yes ( ) No ( )

· Workers’ Compensation History Review Yes ( ) No ( )

· Driver’s License Verification Yes ( ) No ( )

· Pre-employment Physical Exam Yes ( ) No ( )

· Criminal History Review Yes ( ) No ( )

27. Describe any other related services your firm could provide.

Provide any additional information you feel will assist OUC in determining your firms’ qualifications.