Procedure for the procurement of consulting service - DOH

DOH CUSTOMIZED PROCUREMENT MANUAL VOLUME 4 2010
FORM 4: FIRM’S PROFILE
The Bidder shall provide adequate information to demonstrate clearly its technical capabilities. With this form, the
Bidder should summarize important certifications, proprietary methodologies and/or specialized technologies which
the Bidder owns or uses. The firm may submit additional documents other than this form.
1. Name of Firm
2. Year Established 3. Country: 4. Type:
5. Official Address
6. Telephone 7. Fax: 8. E-mail:
9. Principal Contact Person:
10. Firm‟s General Description and Technical capabilities:
11. Partners, Directors, Officers & Key Personnel
Name Position Education Expertise Years with firm Age
12. Current Number of Personnel
Discipline & category Number Part or Full time
13. Average volume of gross fess the Last 5 years: 14. Bank Reference 15. Bank Branch
16. Ranges of professional fees index 17. Field of Specialization and Type of Services
Amount No. of Projects Field Service Provided
P100,000-P250,000
>P250,000-P500,000
>P500,000-P1M
>P1M-P5M
>P5M-P10M
>P10M-P20M
>P20M
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