10-Responsibility Survey.pdf
PDF 225 KB Posted
- Attached to
- Substitute Teachers and Teacher Aides
- Solicitation number
- ITB-26-00012
- Issued by
- Hillsborough County, Florida
About this file
The document is a Responsibility Survey from Hillsborough County, Florida, designed to evaluate potential contractors for a county project. The survey is an invitation to bid, requiring prospective offerors to provide comprehensive information about their business, experience, and past project performance. The purpose is to determine the lowest responsive and responsible offeror, with the county reserving the right to rescind award recommendations or terminate contracts if any submitted information is found to be false, misleading, or incomplete.
The survey requires detailed documentation of previous projects, including project names, locations, descriptions, client information, contract amounts, service dates, and whether the work was performed as a prime contractor or subcontractor. Offerors must also disclose any history of incomplete work and provide additional information relevant to the county's evaluation of their firm's responsibility, such as pending litigation, employee misconduct, OSHA violations, or workplace incidents. Failure to provide complete and accurate information by the specified date may result in the county determining the offeror to be non-responsible and ineligible for contract award.
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Text version
HillsboroughCoun� q{"� Invitation to Bid No.
Responsibility Survey
In order to determine the lowest responsive and responsible Offeror for this project, Hillsborough County may mandate that the apparent lowest Offeror provide the following survey. THE FAILURE OF AN OFFEROR TO PROVIDE
ALL INFORMATION REQUESTED BY THE SPECIFIED DATE MAY RESULT IN A FINDING BY THE
COUNTY THAT THE OFFEROR IS NOT RESPONSIBLE. HILLSBOROUGH COUNTY MAY RELY ON
THIS INFORMATION IN ITS DECISION REGARDING THE AW ARD OF THE CONTRACT FOR THIS
PROJECT; THEREFORE, ANY MATERIALLY FALSE, MISLEADING, AND/OR INCOMPLETE
INFORMATION THAT IS SUBMITTED BY THE OFFEROR IN RESPONSE TO THIS SURVEY MAY
RESULT IN THE COUNTY'S RESCISSION OF ITS AWARD RECOMMENDATION IF SUCH
INFORMATION IS DISCOVERED BEFORE THE CONTRACT IS AWARDED BY THE COUNTY'S
BOARD OF COUNTY COMMISSIONERS OR THE COUNTY ADMINISTRATOR, IF APPLICABLE. IF
IT IS DISCOVERED THAT THE OFFEROR HAS SUBMITTED MATERIALLY FALSE, MISLEADING
AND/OR INCOMPLETE INFORMATION IN RESPONSE TO THIS SURVEY AFTER THE CONTRACT
HAS BEEN A WARDED BY THE COUNTY'S BOARD OF COUNTY COMMISSIONERS OR THE
COUNTY ADMINISTRATOR, THEN THE CONTRACT AWARD MAY BE RESCINDED BY THE
COUNTY OR THE CONTRACT MAY BE TERMINATED. Any questions concerning the requested information may be directed to the Hillsborough County Procurement Services Department buyer identified on the Solicitation.
*If additional space is needed, please provide as an attachment.
Company Name:
Principal Officer:
Company Address:
Years in Business under Present Name:
Primary type of work your firm engages in: ____________________ _
Years of experience in your primary type of work: _________________ _
Provide projects that are equal to or greater than the scope specified within the solicitation.
D Prime Contractor or D Subcontractor
Project Name and Location: ______________________________ _
Project Description:----------------------------------
Client Name person: ---------------------------------
Client Phone and Email: ---------------------------------
Original Contract Amount: $ _______ _ Final Contract Amount$ _________ _
Name and License number under which work was performed: ________________ _
Service Date From: ___ Service Date To: __ _
D Prime Contractor or D Subcontractor
Project Name and Location: ______________________________ _
Project Description:----------------------------------
Client Name person: ----------------------------------
Client Phone and Email: ______________________________ _
Original Contract Amount: $ _______ _ Final Contract Amount$ _________ _
Name and License number under which work was performed: ________________ _
Service Date From: ___ Service Date To: __ _
Project Name and Location: _____________________________ _
Project Description: ________________________________ _
Client Name person: ---------------------------------
Client Phone and Email: ______________________________ _
Original Contract Amount: $ _______ _ Final Contract Amount$ _________ _
Name and License number under which work was performed: _______________ _
Service Date From: ___ Service Date To: __ _
D Prime Contractor or D Subcontractor
Project Name and Location: _____________________________ _
Project Description: ________________________________ _
Client Name person: ---------------------------------
Client Phone and Email: ______________________________ _
Original Contract Amount: $ _______ _ Final Contract Amount$ _________ _
Name and License number under which work was performed: _______________ _
Project Name and Location: ______________________________ _
Project Description: __________________________________ _
Client Name person: ----------------------------------
Client Phone and Email: ______________________________ _
Original Contract Amount: $ _______ _ Final Contract Amount$ _________ _
Name and License number under which work was performed: ________________ _
Has your firm ever failed to complete any work awarded to it ? Yes D No D
If yes, explain:
Provide other information that would be relevant to the County's evaluation of your firm's responsibility (e.g. any pending, present or past litigation, any employee misconduct, OSHA violations, work place deaths, etc.)?
YesD NoD
If yes, explain:
Joseph Wright Rectangle
Joseph Wright Rectangle
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