Vendor Question Worksheet- Official Michigan Transportation Map- 10-9-17.docx

Enter company name here.

STATE OF MICHIGAN

Department Number 171, Request for Proposal No. 180000000088 (18*88) Official Michigan Transportation Map

VENDOR QUESTIONS WORKSHEET

Provide a detailed response to each question. “You” and “company” refers to the bidder.

1. Company Contact Information

Bidder Response

Bidder’s sole contact person during the RFP process. Include name, title, address, email, and phone number.

Person authorized to receive and sign a resulting contract. Include name, title, address, email, and phone number.

2. Company Background Information.

Bidder Response

Legal business name and address. Include business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.

What State is your business incorporated in?

Phone number.

Website address.

Number of years in business and number of employees.

Legal business name of any applicable parent company and address.

Has there been a recent change in the organizational structure (e.g., management team) or a change of control (merger or acquisition)? If so, why and how has it affected the company?

Discuss your company’s history. Has growth been organic, through mergers and acquisitions, or both?

Has your company 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 the last 5 years.

If receiving a contract under this RFP 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 RFP.

3. Qualified Disabled Veteran

Bidder Response

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, the vendor may also provide a copy of the business entities National Veterans Business Development Council (NVBDC) certification.

4. Participation in RFP Development or Evaluation- Answering yes to any of these question means you are not eligible for contract award or to work as a subcontractor for the awarded vendor.

Bidder Response

Did your company, or an employee, agent, or representative of your company, participate in developing any component of this RFP?

Will your company, or an employee, agent, or representative of your company, participate in the evaluation of the proposals received in response to this RFP?

5. Experience with the State of Michigan

Bidder Response

Does your company have experience working with the State of Michigan? If so, please provide a list (including the contract number) of the contracts you hold or have held with the State for the last 10 years.

6. Experience

Bidder Response

Below, please describe at least 3 relevant experiences from the last 5 years, other than with the State of Michigan, supporting your ability to successfully manage a contract of similar size and scope for the work described in this RFP. Be sure that one or more of these experiences qualifies your company for the Minimum Mandatory Requirement if your answer to Section 5, Experience with the State of Michigan, does not.

Experience 1

Bidder Response

Company name Contact name Contact role at time of project Contact phone Contact email

City State Zip Code

1. Project name and description of the scope of the project

2. What role did your company play

3. How is this project experience relevant to the subject of this RFP.

Total project cost

Start and end date (MM/YY – MM/YY) of the Project

Status (completed, live, other – specify phase)

Results obtained

Experience 2

Bidder Response

Company name Contact name Contact role at time of project

City

Zip Phone

1. Project name and description of the scope of the project

Dollar value

Start and end date (MM/YY – MM/YY)

Status (completed, live, other – specify phase)

Results obtained

Experience 3

Bidder Response

Company name Contact name Contact role at time of project

City

Zip Phone

1. Project name and description of the scope of the project

Dollar value

Start and end date (mm/yy – mm/yyy)

Status (completed, live, other – specify phase)

Results obtained

Revised 8/1/17 1