EXHIBIT B CONTRACTOR INFORMATION FORM.pdf

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Attached to
IFB 25. 0030 AAPS Band and String Instruments
Solicitation number
25.0030
Issued by
Washtenaw County, Michigan

About this file

This document is an Exhibit B Contractor Information Form for Invitation for Bid (IFB) 25.0030, issued by Ann Arbor Public Schools (AAPS) for Band and String Instruments. The form requires potential contractors to provide comprehensive details about their business, including company background, financial information, business structure, experience, safety record, and professional references. The document is designed to help AAPS evaluate bidders' qualifications for providing musical instruments to the school district.

The form requests detailed information across six key sections: contractor basic information, financial data, business structure, experience history, safety compliance, and professional references. Contractors must disclose their annual gross sales for the past three years, business structure, incorporation state, years of relevant experience, any past project failures or removals, potential bankruptcies, legal proceedings, safety violations, and provide three references from similar prior work, preferably from other school districts. The document indicates that financial statements may be requested for additional review, and contractors must transparently report any historical business challenges or legal issues that might impact their ability to fulfill the contract.

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IFB 25.0030 – AAPS Band and String Instruments

EXHIBIT B: CONTRACTOR INFORMATION FORM

1. Contractor Information

Contractor Name: __________

Address: _________________________________________

Number of years in business as the Contractor named above ____________

Physical Business Headquarters Address:

Previous Contractor Names_____________________________________________________

Explanation for Contractor Name Change__________________________________________

Phone Number: ____________________ Contact Email: _____________________________

2. Financial

Annual gross sales for last three (3) years:

2024______________2023___________ 2022 ___________ _

Federal ID Number: ________________

Dun & Bradstreet (D-U-N-S) Number: _____________________

Financial statements could be requested by the District for review.

3. Business Structure

Corporation Partnership Individual Joint Venture Other _________________

State of Incorporation: ________________________________________________________

States in which qualified to do business: __________________________________________

IFB 25.0030 – AAPS Band and String Instruments

4. Experience

Years of experience with same projects as specified within IFB? ________________________

Has the Contractor in the past five (5) years ever?

a. Failed to complete awarded work? _______________________________________

b. Been removed from awarded work? ______________________________________

c. Has the owner/principal(s) of the company ever filed bankruptcy? _______________

d. Are there any judgements, claims, arbitration proceedings, or suits pending or outstanding against the Contractor or its Officers?

5. Safety

In the last five (5) years has the Contractor or subcontractor companies have any violations of state, federal or local laws or regulations, including OSHA/MIOSHA, or regulations issued against the Contractor. If yes, explain violation(s).

6. References

Provide Organization name, contact and telephone numbers of three (3) customers that your organization has provided similar goods or services for within the past five (5) years, preferably school districts.

Organization / School District__________________________________________________

Contact Name: ____________________________Telephone:________________________

Organization / School District__________________________________________________

Contact Name:____________________________Telephone:________________________

Organization / School District _________________________________________________

Contact Name:_____________________________Telephone:_______________________

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