1-Bidder’s Qualification Form - Rev001.pdf

180 KB Posted

Attached to
PD Skiff Boat
Solicitation number
ITB No. 2026-008
Issued by
Palm Beach County, Florida

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The document is a Bidder's Qualification Form from the Town of Palm Beach, designed to gather comprehensive information from potential vendors seeking to bid on municipal contracts. The form requires proposers to provide detailed company information, including legal name, address, business structure (corporation, partnership, or individual), incorporation details, principal officers, and length of time in business, both overall and specifically in Florida as a service organization.

The qualification form aims to ensure that potential bidders are capable of performing required services efficiently and satisfactorily. It mandates that vendors hold a County and/or Municipal Tax Receipt in their fixed business location and requires full disclosure of any potential conflicts of interest, such as town employees who may have a direct or indirect ownership stake in the bidding firm. The form serves as a preliminary screening mechanism for the Town of Palm Beach to assess the qualifications, stability, and potential conflicts of potential contractors before moving forward with the bid evaluation process.

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TOWN OF PALM BEACH

Bidder’s Qualification Form

Note: Information requested herein and submitted by the proposers will be analyzed by the Town of Palm Beach and will be a factor considered in awarding any resulting contract. The purpose is to ensure that the Proposers, in the sole opinion of the Town of Palm Beach, can sufficiently and efficiently perform all the required services in a timely and satisfactory manner as will be required by the subject contract. If there are any terms and/or conditions that are in conflict, the most stringent requirement shall apply.

The Vendor, as a result of this bid proposal, must hold a County and/or Municipal Tax Receipt (Occupational License) in the area of their fixed business location. Each proposer must complete the following information and submit with their proposal in order to be considered:

1. Legal Name and Address:

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Email: ___________________________________________________________________________

City, State, Zip: ____________________________________________________________________

Phone/Fax: _______________________________________________________________________

2. Check One: Corporation ( ) Partnership ( ) Individual ( )

3. If Corporation, state:

Date of Incorporation: ____________________________

State in which Incorporated: _______________________

4. If an out-of-state Corporation, currently authorized to do business in Florida, give date of such authorization: ___________________________________

5. Name and Title of Principal Officers: Date Elected:

6. The Vendor’s length of time in business: _____ years

7. The Vendor’s length of time (continuous) in business as a service organization in Florida: _____ years

8. All bidders must disclose with their bid the name of any officer, director or agent who is also an employee of the Town. Further, all bidders must disclose the name of any Town employee who owns, directly or indirectly, an interest in the bidder’s firm or any of its branches.

Name: ___________________________________________________________________________

Percentage of Interest: _____ %

Name:
Address:
Email:
City State Zip:
PhoneFax:
Date of Incorporation:
State in which Incorporated:
authorization:
Name and Title of Principal Officers 1:
Name and Title of Principal Officers 2:
Name and Title of Principal Officers 3:
Name and Title of Principal Officers 4:
Date Elected 1:
Date Elected 2:
Date Elected 3:
Date Elected 4:
The Vendors length of time in business:
The Vendors length of time continuous in business as a service organization in Florida:
Name_2:
Percentage of Interest:
Group1: Off

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