VENDOR QUESTIONS WORKSHEET.docx
DOCX document 45 KB Posted
- Solicitation number
- RFP 275 210000002583 2
- Issued by
- Grand Traverse County, Lansing City, Michigan
About this file
This is a Vendor Questions Worksheet from the State of Michigan Procurement division designed to collect comprehensive information from bidders responding to a Request for Proposal (RFP). The worksheet serves as a standardized data collection tool to evaluate vendor qualifications, experience, compliance status, and alignment with state requirements. Rather than requesting specific products or services, this document functions as a qualification and background verification instrument that bidders must complete as part of their proposal submission. The worksheet does not specify a particular project scope, timeline, response deadline, or contract term, as these details would be contained in the related RFP solicitation documents.
The worksheet requires bidders to disclose contact information, company background including ownership structure and financial performance over the past five years, qualified disabled veteran-owned business status if applicable, prior experience with similar work and the State of Michigan, agreement with standard contract terms, and Michigan economic impact metrics such as current and projected employment within the state. Additionally, bidders must certify compliance with various state and federal requirements including labor and employment laws, environmental regulations, proper employee classification, prohibition of forced labor, Michigan business tax filing obligations, Iran-linked business restrictions, and clean corporate citizen status. The document also requests disclosure of any debarment, suspension, disqualification, litigation against Michigan, contract defaults or terminations, and outstanding state tax debts, with bidders authorizing the state to verify all submitted information.
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Other files
| File | Type | Posted |
|---|---|---|
| CONFIDENTIAL TREATMENT FORM.docx | DOCX document | |
| STANDARD CONTRACT TERMS.docx | DOCX document | |
| SCHEDULE A STATEMENT OF WORK CONTRACT ACTIVITIES.docx | DOCX document | |
| SCHEDULE B PRICING.xlsx | XLSX spreadsheet | |
| PROPOSAL INSTRUCTIONS.pdf | ||
| Solicitation Addendum No. 1.pdf |
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Michigan.gov/MiProcurement vendor questions worksheet 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 RFP process. Include name, title, address, email, and phone number.
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 and number of employees.
Legal business name and address of parent company, if any.
Has there been a recent change in organizational structure (e.g., management team) or control (e.g., merger or acquisition) of your company? If the answer is yes: (a) explain why the change occurred and (b) how this change has affected your company.
Discuss your company’s history. Has growth been organic, through mergers and acquisitions, or both?
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 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/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? |
| Enter YES or NO. |
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 RFP 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. |
| Enter YES or NO. |
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? |
| Enter YES or NO. |
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 RFP? |
| Enter YES or NO. |
If you enter “YES”, you are not eligible for contract award or to work as a subcontractor for the awarded vendor.
5. State of Michigan Experience and Prior Experience
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.
Describe at least 3 relevant experiences from the last 5 years supporting your ability to successfully manage a contract of similar size and scope for the work described in this RFP.
Experience 1
Company name.
Contact name.
Contact role at time of project.
Contact phone.
Contact email.
City.
State.
Zip.
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?
Dollar value.
Start and end date (mm/yy – mm/yy)
Status (completed, live, other – specify phase)
Results obtained.
Experience 2
Company name.
Contact role at time of project.
City.
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
Company name.
Contact role at time of project.
City.
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.
6. 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.
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 and Environmental Laws Compliance
Bidder must disclose any violations of state or federal labor 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. |
| Enter YES or NO. |
| 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. |
| Enter YES or NO. |
| 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. |
| Enter YES or NO. |
| 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. |
| Enter YES or NO. |
| Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451. |
| Enter YES or NO. |
| Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies. |
| Enter YES or NO. |
| 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. |
| Enter YES or NO. |
| 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. |
| Enter YES or NO. |
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