ITN - Vendor Questions Worksheet.docx
DOCX document 68 KB Posted
- Attached to
- Erosion function apparatus
- Solicitation number
- ITN 591 270000000001 1
- Issued by
- Michigan
About this file
This is a vendor questions worksheet from the State of Michigan's MiProcurement division for an Invitation to Negotiate (ITN) regarding an erosion function apparatus. The worksheet serves as a standardized questionnaire that bidders must complete to provide detailed information about their company, qualifications, and compliance with state requirements. While the specific product specifications, quantities, response deadlines, bid dates, site visits, bidders' conferences, award dates, and contract terms are not detailed in this worksheet itself, the document establishes the framework through which interested vendors must respond to demonstrate their eligibility and capacity to fulfill the state's procurement needs.
The worksheet requires bidders to disclose comprehensive company background information, including legal business structure, financial history, litigation records, and contract performance over the past five years. Additionally, bidders must certify compliance with multiple state and federal requirements, including labor law compliance, environmental regulations, tax obligations, Iran-linked business prohibitions, and anti-discrimination standards. The document includes provisions for qualified disabled veteran-owned business designations under Michigan law and requires disclosure of any involvement in the solicitation development process. Bidders must also demonstrate their Michigan economic impact by providing employee counts, wage information, and health insurance coverage data for their Michigan-based workforce. All information provided is subject to state verification, and bidders are required to respond promptly to any clarification requests or proposed contract modifications from the State of Michigan.
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Other files
| File | Type | Posted |
|---|---|---|
| Schedule F - Federal Provisions Addendum.pdf | ||
| Invitation to Negotiate (ITN).docx | DOCX document | |
| Standard Contract Terms.docx | DOCX document |
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Michigan.gov/MiProcurement vendor questions worksheet - ITN 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 ITN process. Include name, title, address, email, phone number and vendor customer code in SIGMA VSS.
Person authorized to receive and sign a resulting contract. Include name, title, address, email, phone number and vendor customer code in SIGMA VSS.
2. Company Background Information
Legal business name and address. Include 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.
Number of employees.
Legal business name and address of parent company, if any.
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 ITN 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 ITN.
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). Are you a qualified disabled veteran? |
| Choose an item. |
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); and
(c) Legal documents setting forth the ownership of the business entity.
In lieu of the documentation identified above, you may provide proof of certification by the National Veterans Business Development Council.
Enter the names of documents submitted with your proposal to demonstrate status as a qualified disabled veteran.
4. Participation in ITN 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. |
| Choose an item. |
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? |
| Choose an item. |
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 ITN? |
| Choose an item. |
If you enter “YES”, you are not eligible for contract award or to work as a subcontractor for the awarded vendor.
5. 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.
6. Michigan Voluntary Protection Program
| Bidder must verify if their company is recognized in the Michigan Voluntary Protection Program (MVPP) |
| Choose an item. |
| 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 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, Antidiscrimination and Environmental Laws Compliance
Bidder must disclose any violations of state or federal labor, antidiscrimination 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. Other
| Classification of Employees. I certify that the company has properly classified its employees in accordance with federal/state labor and employment laws. |
| Choose an item. |
| 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. |
| Choose an item. |
| 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. |
| Choose an item. |
| 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. |
| Choose an item. |
| Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451. |
| Choose an item. |
| Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies. |
| Choose an item. |
| 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. |
| Choose an item. |
| 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. |
| Choose an item. |
10. Response to State Requests
| Bidder agrees to respond, by established deadlines, to all requests from the State including but not limited to, clarification requests, notices of deficiency, and proposed changes to Contract Terms. |
| Choose an item. |
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