ESBD_534095_1783027192354_0007993 Attachment H - Contractors Qualification Form.pdf

Solicitation No. 0007993 RFP for Air Filter Changing Services

ATTACHMENT H - CONTRACTOR’S QUALIFICATIONS

FORM

Respondent Instructions: Complete the form below and submit with response as per Attachment L– OpenGov Submission Instructions. This form or a reasonable likeness must be returned with response. Failure to complete and submit Attachment H – Contractor’s Qualifications Form through the Bonfire online system will result in disqualification of submitted response.

COMPANY INFORMATION:

Company Name:

Federal EIN Number:

(Attach W9 to this form)

Company Description

Number of Years in Business:

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;

(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:

OFFICE THAT WILL SERVICE THIS CONTRACT INFORMATION:

(FOR EACH GEOGRAPHIC SERVICE LOCATION YOUR FIRM IS PROPOSING)

(Attach additional sheets if necessary) Servicing Office Addresses:

# of Permanent, FT Employees:

# of Permanent, PT Employees:

# of Service Technicians:

Geographic Service Area:

RELEVANT QUALIFICATIONS

(Attach additional sheet if necessary)

1. Describe how you propose to ful�ill the requirements outline in Attachment A – Service Contract. Answer should include: Company experience providing air �ilter changing services to federal or state government agencies and any other business.

2. Provide your experience changing air �ilters based on the quantity shown in Exhibit E – Facilities, Filter Information, and Pricing Sheet.

3. Contracts sometimes incentivize awarded vendors to not seek out the best pricing for parts or subcontracting. How will you ensure that TFC is receiving best value with your supplies and subcontractors?

4. Are there any other contracts that will “share” assigned technicians? Explain how responsive service will be maintained for TFC.

5. Provide your experience in establishing a labeling system for �ilter replacements being performed.

6. Describe detailed steps on how your company will identify shutting down equipment to have equipment taken out of service.

Provide the names and certi�ications/licenses held by staff that will perform services for this contract.

Attach resumes and any applicable licenses or certi�ications to this document.

Name Certification/License (Include number if applicable)

City Role

List any specialized training by staff.

Name Training

PROPOSED METHODOLOGY

1. Explain how services are ordered and technicians are dispatched to meet response times speci�ied in the contract.

2. Provide methodology for labeling �ilters to indicate replacement or service date.

3. Explain how your staf�ing size and their roles will ful�ill these requirements.

4. Explain your approach in coordinating with other Contractors hired by TFC.

5. Explain your processes and timelines when a quote is requested by contracted agency.

6. Explain how your company will meet the response times identi�ied in Attachment A – Service Contract.

7. Explain how Contractor will meet the following requirements: All work performed in accordance with the International Mechanical Code, National Electrical Code, state and federal laws and the manufacturer’s standard recommendation manuals for service and repair.

8. Explain how you will stock/purchase all types of identi�ied �ilters as needed per the pre-approved schedule.

9. How do you dispose of used �ilters.

QUALITY AND SAFETY

Quality Assurance: Respondent shall provide the name and job title of the person in the organization who oversees the quality assurance program. Respondent shall describe its quality assurance program, quality requirements and means of measurement to ensure high quality and responsive service.

Quality Control: Provide process flow charts on how quality is measured, maintained and achieved.

The Respondent shall describe the firm’s policy regarding establishing quality control processes similar to ISO 9000 or other in-place controls for adherence to budget, quality, safety and schedule.

Safety Program and Safety Records:

(i) Safety Program:

1. Indicate the name and job title of the person in your organization who manages your safety program.

2. Provide a description of your safety program.

3. TFC reserves the right to require a copy of your safety manual if your proposal is scored within the highest range of proposals, which will become a Contract Document after award.

(ii) Respondent’s Safety Record:

1. Provide the company’s workers' compensation experience modification rate (EMR) for the last five years as part of the proposal. This shall be submitted in your response on your insurance carrier’s letterhead.

REFERENCES: Contractor shall submit three (3) references for which the contractor 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.

A. Client:

Point of Contact:

Telephone:

Email:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of Contract:

Description of Scope of Work:

B. Client:

Telephone:

Email:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of

C. Client:

Telephone:

Email:

Facility Name:

Facility Address:

Start Date of Contract:

End Date of

ATTACHMENT H - CONTRACTOR’S QUALIFICATIONS FORM