03_Statement of Qualifications Form _ GW_GA.docx

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Attached to
RFP-Q Grant Writing/Administrative & Related Grant Services
Solicitation number
PE-71551-NONST-2026-000000013
Issued by
Peach County, Georgia

About this file

This is a Statement of Qualifications form for grant writing and administration services issued by the State of Georgia for local government implementation of federally assisted projects. The form requests qualifications from consulting firms capable of providing comprehensive grant writing, grant administration, and related services utilizing federal funds. Respondents must demonstrate their experience through documentation of years in business, firm history and resource capability, officer information, up to five relevant project examples, key personnel qualifications and roles, and three professional references. The solicitation does not specify explicit response dates, due dates, site visits, bidder conferences, award dates, or contract terms within this particular form document.

Pricing information must be submitted separately for both grant writing application services and grant administration services, with fees potentially expressed as percentages but ultimately structured as lump sum amounts in final agreements. The form includes a Section 3 Business Concern preference provision, requiring eligible firms to submit Section 3 Business Concern Certification, Previous Certification, and Action Plan documentation if claiming preference. All responses require certification under oath by an authorized officer of the firm attesting to the truthfulness and accuracy of submitted information. The solicitation does not identify any incumbent, current environment factors, specific funding amounts, or renewal options within this document.

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GRANT WRITING/ADMINISTRATION

STATEMENT OF QUALIFICATIONS

NAME OF FIRM:

ADDRESS:

1. Years in Business in Present Form:

2. Firms History and Resource Capability to Perform Required Services:

3. Titles, names, and addresses of all officers.

4. List up to five (5) projects which demonstrate skills to be used on CDBG projects.

1.

2.

3.

4.

5.

5. Fee to write the Application:___________________________________________

6. If you were awarded the administration on these type of projects, what would your fee for grant administration services be (fees can be expressed in percentages, but all agreements will be lump sum amounts)?

7. List key personnel (with qualifications) likely to be involved on these projects and explain their specific role in CDBG work.

8. List three references with contact information.

1.

2.

3.

9. Are you a Section 3 Business Concern? Yes ______ No _______ The Attached Section 3 Business Concern Certification, Previous Certification and Action Plan must be filled out, signed, notarized, and submitted with your proposal if claiming Section 3 preference. If not, you do not have to submit with your proposal.

10. Certifying that:

Mr./Mrs./Ms. being duly sworn deposes and states that he/she is the (title) of (name of firm) and that answers to the foregoing questions and all statements herein contained are true and correct.

Grant Administration Statement of QualificationsPage | 1
Grant Writing/Administration Statement of QualificationsPage | 2

File details come from the government source that posted it. Updated .