1-00456 - Qualifications Questionnaire Sector 5.pdf

Qualifications Questionnaire - 00456 - 1

SECTION 00456 – Qualifications Questionnaire

NOTICE: THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON-

RESPONSIBLE BIDDERS.

Documentation Submitted with Project No: NAT25-01

Project Name: SECTOR 5 HURRICANES IAN & NICOLE BEACH AND DUNE

RESTORATION

1. Bidder’s Name / Address: _________________________________________________

2. Bidder’s Telephone & FAX Numbers: ________________________________________

3. Licensing and Corporate Status:

a. Is Contractor License current? __________________

b. Bidder’s Contractor License No: _________________

[Attach a copy of Contractor’s License to this form]

c. Attach documentation from the State of Florida Division of Corporations that indicates the business entity’s status is active and that lists the names and titles of all officers.

4. Number of years the firm has performed business as a Contractor in in beach/dune renourishment: ____________

5. Complete accompanying Representative Projects Table for the last three beach/dune renourishment projects the firm has completed. Include contact information for Owners. Please specify if these were truck haul projects. The County may, at its discretion, contact references provided by the Bidder.

6. Has the firm ever failed to complete work awarded to you? _______

[If your answer is “yes”, then attach a separate page to this questionnaire that explains the circumstances and list the project name, Owner, and the Owner’s telephone number for each project in which the firm failed to complete the work.]

7. Has the firm ever been assessed liquidated damages? _______ number for each project in which liquidated damages have been assessed.]

8. Has the firm ever been charged by OSHA for violating any OSHA regulations? _______ number for each project in which OSHA violations were alleged.]

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9. Has the firm implemented a drug-free workplace program in compliance with Florida

Statute 287.087? _____________

(In the case of a tie, preference will be given to businesses with drug-free workplace programs)

10. Has the firm ever been charged with noncompliance of any public policy or rules?

number for each project.]

11. Attach to this questionnaire, a notarized financial statement and other information that documents the firm’s financial strength and history.

12. Has the firm ever defaulted on any of its projects? _______ number for each project in which a default occurred.]

13. Attach a separate page to this questionnaire that summarizes the firm’s current workload and that demonstrates its ability to meet the project schedule.

14. Name of person who inspected the site of the proposed work for the firm:

Name: __________________________ Date of Inspections: __________________

15. Name of on-site Project Foreman: _______________________________________

Number of years of experience with similar projects as a Project Foreman: _______

16. Name of Project Manager: _____________________________________________

Number of years of experience with similar projects as a Project Manager: _______

17. State your total bonding capacity: __________________________________________

18. State your bonding capacity per job: ________________________________________

19. Please provide name, address, telephone number, and contact person of your bonding company:

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The following information is required to be submitted with each bid, as described in the Technical Specifications:

1. Bidder’s proposed method of construction and overall schedule to demonstrate understanding of the Work and completion within the Contract Time. Attach additional documentation, including Progress Schedule, and Transport, Storage and Access Plan.

2. The equipment and quantity proposed to complete this project, to include bulldozers, loaders, excavators, etc.

3. Attach to this questionnaire, qualifications and prior experience of bidder’s superintendent(s), Name(s) of proposed superintendent(s):

[The remainder of this page was left blank intentionally]

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19. Complete the following table for SIMILAR projects (indicate if project was Truck Haul):

Name of Project

Date Completed

Owner

Contact Person: Name/ Email Address/Phone

Original Contract Amount

Final Contract Amount

SECTION 00456 – Qualifications Questionnaire