12-Form D.pdf

PDF 91 KB Posted

Attached to
Auburndale Park Tennis Courts Renovation
Solicitation number
RFP260192
Issued by
Jefferson County, Kentucky

About this file

This is a Form D Certification of Qualifications document prepared by the Louisville Parks and Recreation Department for the Auburndale Park Asphalt Tennis/Pickleball Courts Renovation project in Kentucky. The form serves as a certification mechanism for specialty firms bidding on the project to document their qualifications and experience performing work of similar size and complexity. The project encompasses renovation of existing asphalt tennis courts at Auburndale Park located at 7260 Southside Drive, Louisville, Kentucky 40214, including site work, tennis-pickleball court renovation, fencing alterations, walkways, utilities, site amenities, and grading and drainage improvements as detailed in the project plans and specifications.

The Form D requires bidding firms to certify the names and experience records of key specialist technicians who would perform the contract work, with the stipulation that only technicians listed on the form may perform the corresponding specialty work. The form must be completed and notarized, with signature and authorization from an official representative of the firm. Firms are required to submit one completed Form D for each specialty category in which they are qualifying, ensuring that all personnel assigned to the project have documented experience with comparable project scope and complexity.

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Text version

LOUISVILLE PARKS AND RECREATION DEPARTMENT

AUBURNDALE PARK ASPHALT TENNIS / PICKLEBALL COURTS RENOVATION

FORM D

CERTIFICATION OF QUALIFICATIONS

(COPY THIS FORM FOR EACH SPECIALTY FIRM)

I hereby certify that this firm has performed work of size and complexity similar to the work on this contract in the following specialty categories:

TYPE OF SPECIALTY WORK

I hereby certify that the key specialist technicians who would perform work on this contract are the same as those listed herein, and that their experience records documented on this form are accurate and complete. Only technicians listed herein may perform the corresponding specialty work for this contract.

FIRM NAME

AUTHORIZED OFFICIAL FOR FIRM DATE

NOTARY’S SIGNATURE DATE

NOTARY SEAL

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