Confidential Treatment Form & Vendor Questions Wkst.docx
DOCX document 86 KB Posted
- Attached to
- Hydraulic Hoses, Fittings & Components
- Solicitation number
- RFP 591 220000000559 2
- Issued by
- Michigan
About this file
This is a Confidential Treatment Form and Vendor Questions Worksheet for RFP 220000000559 issued by the State of Michigan through Michigan.gov/MiProcurement for the procurement of Hydraulic Hoses, Fittings & Components. The document serves as a mandatory submission requirement for all bidders, regardless of whether confidential information is included in their proposals. Bidders must complete either Section 1 (affirming no confidential treatment is requested) or Section 2 (identifying specific confidential materials and providing justification for protection) and submit the completed form with their proposal. Failure to submit a properly completed Confidential Treatment Form will result in the entire proposal being treated as a public document and subject to disclosure without redaction following award notification.
The Vendor Questions Worksheet requires bidders to provide comprehensive responses across ten sections, including contact information for key personnel, detailed company background and organizational history, qualified disabled veteran-owned business status if applicable, confirmation of non-participation in RFP development or evaluation, relevant experience from the past five years with at least three project examples, agreement with standard contract terms, Michigan economic impact information including employee counts and wage data, disclosure of any labor and environmental law violations within the past five years, supplier diversity program details, and various certifications regarding employee classification, labor practices, Michigan business tax compliance, Iran-linked business status, clean corporate citizen status, convict labor compliance, and state tax payment obligations. The State reserves the right to verify all information provided by vendors in registration, bidding, contracting documents, and any supplemental materials.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Schedule B - Pricing.xlsx | XLSX spreadsheet | |
| Attachments 1 & 2.pdf | ||
| Schedule A - Statement of Work.docx | DOCX document | |
| Amendment 1 - Q & A.pdf | ||
| Cover Page & Proposal Instructions.pdf | ||
| Standard Contract Terms.docx | DOCX document |
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Michigan.gov/MiProcurement confidential treatment form INSTRUCTIONS. Complete either Section 1 or Section 2 of this CT Form and sign where indicated. This CT Form must be signed by the individual who signed the bidder’s proposal. A completed CT Form must be submitted with your proposal, regardless of whether your proposal contains confidential information.
Failure to submit a completed CT Form with your bid is grounds for rejecting the proposal as non-responsive. If a bidder fails to properly complete and submit the CT Form or otherwise fails to follow CT Form Instructions, the proposal, in its entirety, will be treated as a “Public Copy” and may be publicly disclosed by the State without redaction after bidders have been notified of an award recommendation. See the Confidential Treatment Form and The Freedom of Information Act (FOIA) sections of the Proposal Instructions for additional information.
Section 1. CONFIDENTIAL TREATMENT IS NOT REQUESTED This section must be completed, signed, and submitted with the proposal if the bidder does not request confidential treatment of any material contained in the proposal.
By signing below, the bidder affirms that confidential treatment of material contained in their proposal is not requested.
220000000559 RFP Number
Hydraulic Hoses, Fittings & Components RFP Title
Signature
Date
Printed Name, Title, Company
RFP 220000000559 – Vendor Questions Worksheet Page 2 of 8
Section 2. CONFIDENTIAL TREATMENT IS REQUESTED This section must be completed, signed, and submitted with the proposal if bidder requests confidential treatment of any material contained in the proposal. Submission of a completed CT Form is required to request confidential treatment.
Provide the information in the table below. Bidder may add rows or additional pages using the same format shown in the table. Bidder must specifically identify the information to be protected as confidential and state the reasons why protection is necessary.
The CT Form will not be considered fully complete unless, for each confidentiality request, the bidder: (1) identifies the Proposal Page #, Section #, and Paragraph #, (2) identifies whether the material is a Trade Secret (TS), Proprietary Financial Information (FI), or Proprietary Information (PI), and (3) explains the specific legal grounds that support treatment of the material as TS, FI, or PI. Bidders must provide a complete justification as to how the material falls within the scope of an applicable FOIA exemption or relevant case law. Bidders must not simply cite to an applicable exemption or case name. Bidders must also provide the contact information for the person at their organization authorized to respond to inquiries by the State concerning the material.
Bidder must also submit a “Public Copy” of the proposal with the trade secret, financial, and proprietary information redacted and clearly labeled as the “Public Copy”.
(1) Proposal Page #, Section #, Paragraph # (2) Material is Trade Secret (TS), Proprietary Financial Information (FI), Proprietary Information (PI) (3) Applicable FOIA Exemption with Written Justification (4) Bidder Contact Information
By signing below, the bidder affirms that confidential treatment of material contained in their proposal is requested and has attached to this form a redacted “Public Copy” of the bidder’s proposal.
220000000559 RFP Number
Hydraulic Hoses, Fittings & Components RFP Title
Signature
Date
Printed Name, Title, Company vendor questions worksheet Provide a detailed response to each question. “You” and “company” refers to the bidder.
| Information Sought |
| Bidder Response |
1. Contact Information
Bidder’s sole contact person during the RFP process:
Name:
Title:
Address:
Phone Number:
Email:
Person authorized to receive and sign a resulting contract:
Name:
Title:
Address:
Phone Number:
Sole contact authorized to give and receive Notices (see Standard Contract Terms, Point 2.)
Name, email address, and phone number. Include address if different than legal business address:
Contractor’s Contract Administrator (see Standard Contract Terms, Point 3.)
Name, email address, and phone number. Include address if different than legal business address
Contractor’s Program Manager (see Standard Contract Terms, Point 4.)
Name, email address, and phone number. Include address if different than legal business address
2. Company Background Information
SIGMA VSS Vendor/Customer Number
Legal business name and address.
Business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.
What state was the company formed in?
Phone number.
Website address.
Number of years in business and number of employees.
Legal business name and address of parent company, if any.
Has there been a recent change in organizational structure (e.g., management team) or control (e.g., merger or acquisition) of your company? If the answer is yes: (a) explain why the change occurred and (b) how this change has affected your company.
Discuss your company’s history. Has growth been organic, through mergers and acquisitions, or both?
Has bidder ever been debarred, suspended, or disqualified from bidding or contracting with any entity, including the State of Michigan? If yes, provide the date, the entity, and details about the situation.
Has your company been a party to litigation against the State of Michigan? If the answer is yes, then state the date of initial filing, case name and court number, and jurisdiction.
Within the last 5 years, has your company or any of its related business entities defaulted on a contract or had a contract terminated for cause? If yes, provide the date, contracting entity, type of contract, and details about the termination or default.
State your gross annual sales for each of the last 5 years.
If receiving a contract under this RFP will increase your gross revenue by more than 25% from last year’s sales, explain how the company will scale-up to manage this increase.
Describe partnerships and strategic relationships you think will bring significant value to the State.
State the physical address of the place of business that would have primary responsibility for this account if bidder is awarded a contract under this RFP.
3. Qualified Disabled Veteran/Service-Disabled Veteran-Owned Business Program
Under MCL 18.1261, a “qualified disabled veteran” means a business entity that is 51% or more owned by 1 or more veterans with a service-connected disability. A “service-connected disability” means a disability incurred or aggravated in the line of duty in the active military, naval, or air service as described in 38 USC 101(16).
To demonstrate qualification as a qualified disabled veteran, you must provide:
| A. | Proof of service and conditions of discharge (DD214 or equivalent). |
| B. | Proof of service-connected disability (DD214 if the disability was documented at discharge or Veterans Administration Rating Decision Letter or equivalent if the disability was documented after discharge). |
| C. | Legal documents setting forth the ownership of the business entity. |
In lieu of the documentation identified above, the Contractor may provide proof of certification by the National Veterans Business Development Council.
Does the bidder qualify as disabled veteran?
If yes, enter the names of documents submitted with your proposal to demonstrate status as a qualified disabled veteran.
4. Participation in RFP Development or Evaluation
| Did your company, an employee, agent, or representative of your company, or any affiliated entity participate in developing any component of this solicitation? For purposes of this question, business concerns, organizations, or individuals are affiliates of each other if, directly or indirectly: (1) either one controls or has power to control the other or (2) a third-party controls or has the power to control both. Indicia of control include, but are not limited to, interlocking management or ownership, identity of interests among family members, shared facilities or equipment, and common use of employees. | |
| ☐ YES | ☐ NO |
If you enter “YES”, you are not eligible for contract award or to work as a subcontractor for the awarded vendor.
| If you are awarded a contract under this solicitation, in order to provide the goods or services required under a resulting contract, do you intend to partner or subcontract with a person or entity that assisted in the development of this solicitation? | |
| ☐ YES | ☐ NO |
If you enter “YES,” you are not eligible for contract award. An awarded vendor may not partner or subcontract with anyone to provide goods and services required under a resulting contract if that subcontractor or partner assisted in the development of this solicitation.
| Will your company, or an employee, agent, or representative of your company, participate in the evaluation of the proposals received in response to this RFP? | |
| ☐ YES | ☐ NO |
If you enter “YES”, you are not eligible for contract award or to work as a subcontractor for the awarded vendor.
5. State of Michigan Experience and Prior Experience
Does your company have experience working with the State of Michigan? If so, please provide a list (including the contract number) of the contracts you hold or have held with the State for the last 10 years.
Describe at least 3 relevant experiences from the last 5 years supporting your ability to successfully manage a contract of similar size and scope for the work described in this RFP.
Experience 1
Company name.
Contact name.
Contact role at time of project.
Contact phone.
Contact email.
City.
State.
Zip.
1. Project name and description of the scope of the project.
2. What role did your company play?
3. How is this project experience relevant to the subject of this RFP?
Dollar value.
Start and end date (mm/yy – mm/yy)
Status (completed, live, other – specify phase)
Results obtained.
Experience 2
Company name.
Contact role at time of project.
City.
1. Project name and description of the scope of the project.
Dollar value.
Start and end date (mm/yy – mm/yy)
Status (completed, live, other – specify phase)
Results obtained.
Experience 3
Company name.
Contact role at time of project.
City.
1. Project name and description of the scope of the project.
Dollar value.
Start and end date (mm/yy – mm/yy)
Status (completed, live, other – specify phase)
Results obtained.
6. Standard Contract Terms
Bidder must affirm agreement with the attached Contract Terms. If not in agreement, written exceptions in accordance with the Evaluation Process section of the Proposal Instructions must be provided with Bidder’s proposal.
7. Michigan Economic Impact
Number of employees currently employed at locations within the State of Michigan.
Number of additional employees to be employed at locations within the State of Michigan if awarded this Contract (if any)
Minimum (lowest) wage paid to employees employed at locations within the State of Michigan.
Average wage paid to employees employed at locations within the State of Michigan.
Percentage of employees employed at locations within the State of Michigan that are covered by employer-provided health insurance.
8. Labor and Environmental Laws Compliance
Bidder must disclose any violations of state or federal labor and employment laws and regulations received within the past five years.
Bidder must disclose any violations of state or federal environmental laws and regulations received within the past five years.
9. Supplier Diversity
| Does your company have a supplier diversity program or training? | |
| |_| YES | |_| NO |
10. Other
| Classification of Employees. I certify that the company has properly classified its employees in accordance with federal/state labor and employment laws. | |
| |_| YES | |_| NO |
| Abusive Labor Practices. The Contractor certifies that it will not furnish any Deliverable that was produced fully or partially by forced labor, forced or indentured child labor, or indentured servitude. | |
| |_| YES | |_| NO |
| Certification of Michigan Business- Public Act 431 of 1984, Sec. 268. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Business Tax Corporate Income Tax Return. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Income Tax return showing income generated in, or attributed to the State of Michigan. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, withheld Michigan Income Tax from compensation paid to the company’s owners and remitted the tax to the Michigan Department of Treasury. | |
| ☐ YES | ☐ NO |
| Iran Linked Business- Public Act 517 of 2012. I certify that the Company is not an Iran-Linked business as defined by Public Act 517 of 2012. | |
| ☐ YES | ☐ NO |
| Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451. | |
| ☐ YES | ☐ NO |
| Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies. | |
| ☐ YES | ☐ NO |
| SOM Debt/Tax Payment. All SOM tax/debts. I certify that all applicable State of Michigan taxes are paid, and that no outstanding debt is owed to the State of Michigan. | |
| ☐ YES | ☐ NO |
| Authorization to Verify Information Provided by Vendor. I authorize the State to verify that all information provided in this registration, in bidding and contracting documents, and any attachments or supplement documents and processes are accurate. | |
| ☐ YES | ☐ NO |
| RFP 220000000559 – Vendor Questions Worksheet | Page 2 of 8 |
| RFP 220000000559 – Vendor Questions Worksheet | Page 1 of 8 |
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