06_Engineering Statement of Qualifications (1.doc
DOC document 35 KB Posted
- Attached to
- 2027 CDBG Preliminary Engineering State and local contract opportunity
- Solicitation number
- PE-68550-NONST-2027-000000013
- Issued by
- Georgia
About this file
This is an Engineering Statement of Qualifications form for firms seeking to provide preliminary engineering services on a 2027 Community Development Block Grant (CDBG) project in Georgia. The form requests comprehensive information about prospective engineering firms' qualifications, including their years in business, firm history, resource capabilities, professional licenses, and insurance coverage. Firms must identify their legal business categories and provide details on their fee structure, specifically stating what percentage of construction costs their design, bid phase, and inspection fees would represent. Additionally, firms must indicate whether they charge for the Preliminary Engineering Report (PER) and confirm their ability to meet the draft PER deadline. The form requires firms to demonstrate relevant experience by listing up to five previous projects completed for CDBG, EIP, or EDA initiatives, including project names, locations, owners, years completed, contract amounts, and the nature of work performed.
The form also mandates that firms provide detailed information about key personnel who would be assigned to the project, explaining their qualifications and specific roles in CDBG/EIP/EDA/RDF/OneGeorgia work, as well as three professional references. Firms must certify their Section 3 Business Concern status and, if applicable, submit supporting documentation including signed and notarized Section 3 Business Concern Certification, Previous Certification, and Action Plan forms. The submission requires an authorized officer of the firm to sign and swear under oath that all information provided is true and correct, establishing the legal accountability of the responding firm for the accuracy of their qualifications and stated capabilities.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| ENG RFQ _ Barnesville 2027 edit.docx | DOCX document | |
| sec_3_solicitation_package_june_2022.pdf |
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Text version
ENGINEERING
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 categories in which firm is legally qualified to do business. Include Licenses and Registration where applicable.
5.
Does your carry Errors and Omissions Insurance?
6.
If you were awarded the design, bid phase, and inspection for this project, what percentage of construction would your fee be?
7.
Does your firm charge for the preliminary engineering report (PER)?
If yes, what would the charge be? $______________
Can your firm meet the draft PER deadline? YES____ NO______
8.
List up to five (5) project which demonstrate skills to be used on CDBG/EIP/EDA projects. Note project name, location, owner, year, contract amount, and nature of firm’s responsibility.
9.
List key personnel (with qualifications) likely to be involved on these projects and explain their specific role in CDBG/EIP/EDA/RDF/ONEGEORGIA work.
10.
List three (3) references for the Firm.
11.
Are you a Section 3 Business Concern? Yes
No
If yes, the Attached Section 3 Business Concern Certification, Previous Certification and Action Plan must be filled out, signed, notarized, and submitted with your proposal.
If no, you will only need to submit the Section 3 forms if you are the successful proposer.
Is the signed and notarized Section 3 Business Concern Certification, Previous Certification and Action Plan attached to your proposal? Yes
12.
Certifying that:
Mr./Mrs./Ms.
(signature) 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.
Engineering Statement of Qualifications Page | 1
Engineering Statement of Qualifications Page | 2
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