ESBD_433452_1751897974758_PR-0004103 Attachment G - Contractors Qualification Form.pdf

RFP PR-0004103

RFP for Single Stream, Transportation, and Recycling Services

ATTACHMENT G - CONTRACTOR’S QUALIFICATIONS FORM

Respondent Instructions: Complete the form below and submit with response as per Attachment J – RFP Submission Instructions and Guidelines. This form or a reasonable likeness must be returned with response.

Failure to complete and submit Attachment G– Contractor’s Qualifications Form through the Bonfire online system will result in disqualification of submitted response.

COMPANY INFORMATION

Company Name:

MAIN/HOME OFFICE LOCATION INFORMATION:

Main Office Address:

Federal EIN Number:

(Attach W9 to this form)

Company Description

Primary Contact Name:

Primary Contact Phone:

Primary Contact Email:

FINANCIAL HISTORY

Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the past five years. If yes, provide explanation below.

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

OFFICE THAT WILL SERVICE THIS CONTRACT INFORMATION:

Austin Office:

(City, Address, Zip Code)

STAFF MEMBERS THAT WILL BE SERVICING THIS CONTRACT

Provide the names and licenses/registrations held staff members that will perform services, if awarded this Contract. (Attach resumes. Attach additional sheets, if necessary)

Name Type of License/Registration (Include number if applicable)

City

List any specialized recycling services industry training provided to service staff members relevant to the Statement of Work. (Attach additional sheets, if necessary)

Name Training

RELEVANT EXPERIENCE AND QUALIFICATIONS

1. What certi�ications, licenses, or permits are required to perform single steam pickup, transportation, and recycling services as required in Attachment A – Statement of Work and Attachment F - TFC Facility List and Containers List. (Attach additional sheets, if necessary)

2. Explain how you meet the requirements in question 1 above.

3. Describe your experience with recycling services related to the Attachment A-Statement of Work requirements. (Attach additional sheets, if necessary)

4. Describe your experience with handling of sensitive information. (Attach additional sheets, if necessary)

PROPOSED METHODOLOGY

As Needed Service: How are as needed service calls routed and prioritized, how will this ensure services meet response requirements for emergency service calls as stated in the Attachment A – Services Contract. (Attach additional sheets, if necessary)

Response Times: How are pre-scheduled pick-ups re-scheduled due to inclement weather, short staffed, etc? (Attach additional sheets, if necessary)

Emergency Service: How are emergency service calls routed and prioritized, how will this ensure services meet response requirements for emergency service calls as stated in the Attachment A – Services Contract. (Attach additional sheets, if necessary)

Resource Sharing: Are there any other contracts that will “share” assigned service staff members?

Explain how responsive service will be maintained for TFC. (Attach additional sheets, if necessary)

PROPOSED METHODOLOGY (Continued)

Training for Staff: Describe training provided for your drivers who will be servicing these services, if awarded, as stated in the Attachment A – Services Contract. (Attach additional sheets, if necessary)

Re-Training: Provide your training plan to include re-training schedules for non-compliant occurrences.

(Attach additional sheets, if necessary)

Frequency of Training: How often is training provided to staff members that will be servicing this contract, if awarded, as stated in the Attachment A – Services Contract. (Attach additional sheets, if

Training Curriculum and Schedule: Provide a sample training curriculum for staff members and how you would break down their training schedule yearly to provide successful services for staff members, if awarded a contract, as stated in the Attachment A – Services Contract. (Attach additional sheets, if

QUALITY AND SAFETY

Quality Control: Describe your quality control program on how you ensure high quality work with minimal callbacks. (Attach additional sheets, if necessary)

Safety Training and Equipment: Describe safety training provided to employees and personal protective equipment issued and encouraged use. (Attach additional sheets, if necessary)

Experience Modification Rate: Provide on insurance letterhead, the Worker’s Compensation Modification Rate for the past five (5) years. (Attach as a separate document). Below, provide explanation for any rating above a value of one (1). (Attach additional sheets, if necessary)

REFERENCES: Respondent shall submit three (3) references for which the respondent has provided plumbing services contracts 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.

A. Client:

Point of Contact:

Telephone:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of Contract:

Description of Scope of Work and Services Performed:

B. Client:

Telephone:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of

C. Client:

Telephone:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of

ATTACHMENT G - CONTRACTOR’S QUALIFICATIONS FORM