RFP 62252 Proposal Form.docx

PROPOSAL SUBMISSION FORM

Business Identification

BUSINESS NAME:

ADDRESS:

CONTACT PERSON:

TITLE:

TELEPHONE NO.:

EMAIL ADDRESS:

REMITTANCE ADDRESS:

BUSINESS ORGANIZED UNDER THE STATE LAWS OF:

PRINCIPAL BUSINESS LOCATION:

STATE CORPORATION COMMISSION IDENTIFICATION NO.:

Business Classifications Corporation

Partnership

Sole Proprietor

Minority Owned

Small Business

Non Profit

Woman Owned

Ownership Disclosure Names and address of all persons having an ownership interest of 5% or more in the business:

1.

2.

3.

Qualifications and References Type of work performed by this business:

Number of years this business has been in operation:

B)

C)

Yes- Explain:

Yes:

Yes (Offeror takes exception to non-legally required RFP terms and conditions)

TRADE SECRETS OR PROPRIETARY INFORMATION:

Trade secrets or proprietary information submitted by the Offeror in connection with a procurement transaction shall not be subject to public disclosure under the Virginia Freedom of Information Act. However, the Offeror must identify the data and materials that need such protection prior to the submission of such data and material, and state the reasons why protection is necessary. Please mark one:

[ ] Yes, the Proposal I have submitted does contain trade secrets and/or proprietary information.

[ ] No, the Proposal I have submitted does not contain any trade secrets and/or proprietary information.

If Yes, Offeror must clearly identify below the exact data or other materials to be protected and list all applicable page numbers of the Proposal containing such data or materials:STATE THE SPECIFIC REASON(S) WHY PROTECTION IS NECESSARY:

Use additional attachments if necessary

NOTE: If the Offeror fails to identify the data or other materials to be protected and fails to state the reasons why such protection is necessary in the space provided above, then the Offeror has not invoked protection accordingly, effectively making the Proposal open for public inspection consistent with applicable law.

Conflict of Interests

NO

Collusion:

NO

Authorized Signature By signing this quote Business certifies, acknowledges, understands, and agrees to be bound by the conditions set forth in this Solicitation.

State Corporation Commission Form

Virginia State Corporation Commission (SCC) registration information. The offeror:

· is a corporation or other business entity with the following SCC identification number: ____________ -OR-

· is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust -OR-

· is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the offeror in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from offeror’s out-of-state location) -OR-

· is an out-of-state business entity that is including with this proposal an opinion of legal counsel which accurately and completely discloses the undersigned offeror’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of § 13.1-757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia.

**NOTE** >> Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for proposals (the City reserves the right to determine in its sole discretion whether to allow such waiver):

Proposals should be as thorough and detailed as possible so that the City may evaluate the Offeror’s capabilities to provide the required services. Offerors are required to submit the following items as a complete proposal:

1. Cover letter. The cover letter should state the contractor’s interest and understanding of the project and summarize expertise and experience related to the project purpose for the prime contractor and any subconsultants. The cover letter should be no more than two pages.

1. Work plan. A general project work plan and schedule should be provided as described above to convey the contractor’s understanding of the project. This work plan may be revised and expanded upon by the selected contractor through consultation with the City after award.

1. Key personnel. Provide an organization chart and for each team member with the following:

2. Qualifications and experience on similar projects

2. Role and responsibilities specifically to this project, including availability to project

2. Home office location

2. Estimate time allocation over duration of the project The above information should be provided for any sub-consultants on the project as well.

1. Project list. Provide references for projects that demonstrate the proposer’s qualifications and experience for performing the requested services and the project purpose. The reference projects should be linked to most staff listed under key personnel.

1. References. Provide names, emails, and telephone numbers of at least three (3) of your firm’s previous clients whom the City staff may contact for references regarding the past performance of your firm, project managers, team members and sub-consultants proposed for this project.

1. Fee schedule. Invoicing will be submitted by percentage of each project phase completed at the time of invoice. Submit a fee schedule detailing costs by each of the three phases listed under “Scope of Work” above.

RFP 62252 Page 2