ESBD_376618_1726261605531_PR-0002596 Attachment B - Contractors Qualification Form.docx

IFB PR-0002596

Elevator and Related Equipment Maintenance and Services-OOA Locations

ATTACHMENT B

CONTRACTOR’S QUALIFICATIONS FORM

Company Name:

Federal EIN Number:

(Attach W9 to this form)

Company Description

Number of Years Performing Elevator Services:

(See Attachment F for scoring criteria)

Office Presence in Area?

Primary Contact Name:

Primary Contact Phone:

Primary Contact Email:

FINANCIAL HISTORY

(Attach additional sheet if necessary)

Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the past five years; (Yes or No, provide explanation)

Indicate if your firm is currently in default on any loan agreement or financial agreement institution, or other entity. If so, specify date(s), details, circumstances, and prospect resolution.

Identify if your company is currently for sale or involved in any transaction to expand or become acquired by another business entity. If so, explain the impact both in organization and company direction.

Indicate if your company has ever failed to complete a project or if a project was ever stopped in the middle of a project within the past five years. If so, why.

Indicate if your company has had a contract terminated for default or convenience within the past five years. Yes or No. If yes, provide explanation

MAIN/HOME OFFICE LOCATION INFORMATION:

Main Office Address:

# of Permanent, FT Employees:

# of Permanent, PT Employees:

# of Years in Resident City

OFFICE THAT WILL SERVICE THIS CONTRACT INFORMATION:

(See Attachment F for scoring criteria)

Servicing Office Address:

# of Permanent, FT Employees:

# of Permanent, PT Employees:

Geographic Service Area:

# of Service Technicians per title/position to service this contract (EX: elevator technician, technician, supervisor, and other pertinent positions):

|_|Waco |_|Fort Worth

(Checked service area should have an Attachment E – Compensation and Fees filled in)

RELEVANT EXPERIENCE AND QUALIFICATIONS

Provide reference information on your company’s contracts servicing the identified Scope of Service in Attachment A – Statement of Work.

Provide information on your Technical Staff that will be assigned to this Purchase Order (EX: Elevator Mechanics/Technicians/Supervisors, and other pertinent positions). Resumes or detailed account of differentiation of experience associated with the Scope of Service.

(capture their applicable licenses and certification information in the categories below)

PROPOSED METHODOLOGY

(Attach additional sheet if necessary. See Attachment F for the scoring criteria)

If awarded the purchase order to begin rendering services, explain how your existing workload will fit in proportion to the services outlined in the Statement of Work. Provide percentage to existing workload.

Describe how your company will respond to emergency service calls. Include response time.

QUALITY CONTROL

(Attach additional sheet if necessary. See Attachment F for the scoring criteria)

Describe how you monitor services to ensure high quality work.

MAINTENANCE SUPERVISOR(S)

(Attach additional sheet if necessary. See Attachment F for scoring criteria)

TECHNICIANS

TRAINING CLASSES FOR STAFF: List all relevant to this Scope of Work

(Regular, Sometimes, Irregular/Never)

LICENSES: List specialized license currently held by staff that will service this account

Certifications: List specialized certifications currently held by staff that will service this account

REFERENCES: Respondent shall submit three (3) references for which the respondent has provided services of similar size, scope, and complexity within the last three (3) years. Additional information may be submitted or attached at respondent’s discretion to provide a detailed summary of Qualifications & Experience of similar/relevant scope.

Point of Contact:

Telephone:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of Contract:

Description of Scope of Work:

Point of Contact:

Telephone:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of Contract:

Description of Scope of Work:

Point of Contact:

Telephone:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of Contract:

Description of Scope of Work: