Attachment B - UDC Enforcement Experience Sheet DS060617.doc

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Attached to
Request for Bid (RFB): UNIFORM DWELLING CODE (UDC) ENFORCEMENT SERVICES – SAUK COUNTY, WI
Solicitation number
DS060617
Issued by
Sauk County, Wisconsin

About this file

This is a supplemental bid submission form (Attachment B) issued by the Wisconsin Department of Administration for Uniform Dwelling Code (UDC) Enforcement Services in Sauk County, Wisconsin. The Request for Bid, issued by the Wisconsin Department of Safety and Professional Services, solicits enforcement services for five municipalities: Town of Ironton, Town of Washington, Town of Winfield, Village of LaValle, and Village of Rock Springs. The contract term is six months, commencing on or near July 1, 2017 through December 31, 2017, with an option to renew for one additional one-year period contingent upon mutual written agreement. Bids were due by June 20, 2017 at 2:00 PM (CT).

The UDC Enforcement Experience Sheet requires bidders to identify a key person possessing all four UDC inspector credential categories with a minimum of three years of UDC enforcement experience, who must have provided services to the bidding agency for at least one year immediately preceding submission. This key person may be an owner, officer, or employee. Bidders must provide the key person's name, inspector credential number, relationship to the inspection agency, and a three-year history detailing the number of UDC projects and municipalities served. Additionally, bidders must list all other employees employed by the contractor, including their inspector credentials, municipalities served, dates of employment, and number of UDC projects completed.

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Text version

Wisconsin Department of Administration

Chs. 16, 19, 51

DOA-3681 (03/99)

SUPPLEMENTAL STANDARD TERMS AND CONDITIONS

FOR PROCUREMENTS FOR SERVICES

ATTACHMENT B

BID DS060617

UDC ENFORCEMENT EXPERIENCE SHEET

Inspection Agency Customer ID# _______________ Company Name ___________________________

Authorized Representative: _______________________ __________________________ __________ (Signature) (Type or Print) (Date)

Summarize below information on a key person with all four UDC inspector credential categories and at least three years of UDC enforcement experience. That key person shall have provided such services to the bidder for at least one year immediately preceding this submittal. (This person may be an owner, officer or employee.) Provide information on that individual, their association with the bidder and their UDC enforcement experience, listing the number of projects and municipalities or bid areas served for each of the past three years they have provided enforcement services.

Name of Key Person: _____________________________ Inspector Credential#: ____________________

Relationship to Inspection Agency:

Dates: _______________________

( Owner ( Officer - specify: ________________ ( Employee

List of Other Persons Employed by the Contractor:

Employee Name
Inspector Credential#
Municipality or Bid Area Served
Dates - From/To
Number of UDC Projects

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