11-QUALIFICATIONS EXPERIENCE FORM.pdf
PDF 123 KB Posted
- Solicitation number
- ITB-2026-44BK
- Issued by
- Doña Ana County, New Mexico
About this file
This is a Qualifications & Experience Form for Civil Site Construction & Earthwork Services issued by Gallup-McKinley County Schools in New Mexico under Invitation to Bid (ITB-2026-44BK). The District intends to establish one or more Indefinite Delivery/Indefinite Quantity (IDIQ) unit price contracts to support campus operations, maintenance, capital improvements, transportation infrastructure, athletic facilities, utilities, and emergency response activities. The form requires prospective bidders to submit comprehensive qualifications documentation demonstrating their capability to perform civil site construction and earthwork services.
The form requests detailed information from offerors including company background, contractor licenses and certifications, relevant project experience, key personnel assignments, available equipment resources, and subcontractor information. Bidders must demonstrate their experience level in core scope areas including earthwork and excavation, gravel and aggregate base construction, concrete-related site preparation, and equipment operations. Additionally, the form requires submission of safety records including Experience Modification Rate (EMR) and Total Recordable Incident Rate (TRIR) data, along with descriptions of the bidder's safety program. The form serves as an evaluation tool to assess bidder qualifications and responsibility prior to contract award, with prospective bidders permitted to attach additional supporting documentation to supplement their responses.
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Text version
Qualifications & Experience Form
Civil Site Construction & Earthwork Services
ITB-2026-44BK
Gallup-McKinley County Schools
1. OFFEROR INFORMATION
Company Name: ____________________________________________
DBA (if applicable): ________________________________________
Business Address: _________________________________________
City/State/Zip: ____________________________________________
Phone Number: ____________________________________________
Email Address: ____________________________________________
Primary Contact Name & Title: _______________________________
Years in Business: _________________________________________
Type of Business (check one):
☐ Corporation
☐ LLC
☐ Partnership ☐ Sole Proprietor ☐ Other: __________________________
2. LICENSES & CERTIFICATIONS
Contractor License Number: _________________________________
License Classification(s): __________________________________
Issuing State: _____________________________________________
Expiration Date: ___________________________________________
Additional Certifications (if applicable):
3. COMPANY EXPERIENCE SUMMARY
Provide a brief overview of your firm’s experience relevant to civil site construction and earthwork services:
4. KEY PERSONNEL
List key personnel who will be assigned to this contract:
Name: _______________________
Title: ________________________
Years Experience: ______________
Relevant Experience:
Name: _______________________
Title: ________________________
Name: _______________________
Title: ________________________
5. EQUIPMENT RESOURCES
List major equipment available for this contract:
Equipment Type Quantity Owned/Leased Condition
Prospective Bidders may attach additional documentation listing available equipment.
6. SUBCONTRACTORS (IF APPLICABLE)
Will subcontractors be used?
☐ Yes ☐ No
If yes, list:
Company Name: ______________________________
Years Working Together: ________________
Scope of Work:
Company Name: ______________________________
Company Name: ______________________________
7. CORE SCOPE EXPERIENCE
Indicate your firm’s experience level in the following areas:
7.1 Earthwork & Excavation
☐ Extensive Experience ☐ Moderate Experience ☐ Limited Experience
Describe relevant experience:
7.2 Gravel & Aggregate Base Construction
☐ Extensive Experience ☐ Moderate Experience
7.3 Concrete-Related Site Preparation
☐ Moderate Experience
7.4 Equipment & Operations
☐ Moderate Experience
Describe relevant experience (include equipment types and operator qualifications):
8. SAFETY RECORD
EMR (Experience Modification Rate): _________________________
Total Recordable Incident Rate (TRIR): _______________________
Provide a brief description of your safety program:
9. ADDITIONAL INFORMATION
Provide any additional information demonstrating your firm’s capability and responsibility:
10. CERTIFICATION
I certify that the information provided is true and correct to the best of my knowledge.
Authorized Signature: _____________________________________
Printed Name: ____________________________________________
Title: _________________________________________________
Date: _________________________________________________
File details come from the government source that posted it. Updated .