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Page 17 of 25 <br />FORM 4.03 QUESTIONNAIRE <br />Suppliers must complete this “Questionnaire” providing the information in the same order requested <br />1. Qualifications and Relevant Experience <br />A. <br />B. <br />C. Describe the company’s experience providing similar services to those described, the length and type <br />of experience when working with the unhoused populations, the programs and services it provides, <br />experience with similar services, and experience working with local homeless services agencies. <br />D. Describe your experience with federal grant funding. Include whether you have received federal grant <br />awards before and your firm’s experience with 2CFR.200 compliance. <br />E. Has your firm conducted a single audit? <br />F. Provide the qualifications and experience of the proposed staff providing service under this contract, <br />including any training, certifications, or expertise of all staff working within this contract. <br />2. Technical Capability, Approach, and Capacity <br />A. Describe how the organization will Include your <br />organization’s availability. <br />B. Please describe the staffing and administration of the proposed program. <br />C. Provide a timeline plan for this project and include any City of Everett staff time <br />D. Provide a sample report showing the key data points and tracking measures listed in Section 2.9. <br />E. Describe how your organization would respond to and manage any increased demand that would <br /> <br />F. State whether a change in contract rates would be required, should the program be expanded, and at <br /> <br />G. Address how the supplier will ensure quality throughout the contract period by providing the following <br />information: <br /> Non-discrimination and equity statement(s). <br /> Employee recruitment and screening methods. <br /> Background checks process <br /> Supervise and monitor the procedures of Transportation Specialists <br /> Safety and emergency policies and procedures. <br />H. How will your agency meet or exceed our needs as described in the Scope of W <br />I. Describe your process to ensure Washington State and Federal laws and regulations compliance <br />J. Describe any data management and tracking systems you use and how you will provide monthly <br />reports. <br /> <br /> <br />EXHIBIT D