S00R2600005 - EEPMS - RFP - Experience Affidavit.pdf

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Attached to
Energy Efficiency Program Management System (EEPMS)
Solicitation number
BPM026480
Issued by
Maryland

About this file

The document is an Attachment R - Experience Affidavit related to a Request for Proposal (RFP) issued by the Maryland Department of Housing and Community Development (DHCD) for an Energy Efficiency Program Management System (EEPMS). The RFP seeks to procure a commercially available application to provide comprehensive program/case management for DHCD's energy efficiency weatherization programs, along with administrative controls for the distinct programs and their funding sources, and their network of partner organizations and subcontractors. The Affidavit requires the offeror to affirm that they have at least three (3) years of experience within the last five (5) years providing program/case management solutions for federal, state, or local governments or utilities administering federal, state, or utility-funded energy programs.

The RFP does not provide specific pricing terms, but it does require the offeror to have the necessary funding and resources to implement the EEPMS application. The RFP does not mention any set-asides, incumbents, or other salient information related to the current environment or funding requirements and sources.

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ATTACHMENT R – EXPERIENCE AFFIDAVIT

A. AUTHORITY (Select One)

□ For business entities, including corporations, LLCs, partnerships, trusts, sole proprietorships:

I hereby affirm that I, ________________________ (name of affiant) am the

________________________ (title) and duly authorized representative of

________________________ (name of business entity) and that I possess the legal authority to make this affidavit on behalf of the business for which I am acting.

□ For individuals:

I, __________________, am over the age of 18 years and competent to attest to the facts and matters herein.

B. AFFIRMATION OF EXPERIENCE

I AFFIRM THAT:

1. The Offeror possesses the experience required pursuant to Section 3.10 of the RFP.

2. The Offeror shall have at least three (3) years of experience within the last five (5) years providing program/case management solutions for federal, state, or local governments or utilities administering federal, state, or utility-funded energy programs., as follows (insert date range for one-year time period):

Example:

1. Time Period: __6/2015-5/2017__

1. Time Period: _________________

2. Time Period: _________________

3. Time Period: _________________

3. The experience described above at paragraph 2 includes services substantially similar to those services identified in the scope of work at Section 2 of the RFP.

I DO SOLEMNLY DECLARE AND AFFIRM UNDER THE PENALTIES OF PERJURY THAT

THE CONTENTS OF THIS AFFIDAVIT ARE TRUE AND CORRECT TO THE BEST OF MY

KNOWLEDGE, INFORMATION, AND BELIEF.

Date: _______________________

By: _________________________________________________

Print name of Affiant (Individual Offeror or

Authorized Representative, for entities)

Signature of Affiant (Individual Offeror or

Authorized Representative, for entities)

SUBMIT THIS AFFIDAVIT WITH BID

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