13-Statement of Bidder Qual 9 18 2025(3).pdf
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- Attached to
- RFP PBV New Construction Vouchers 2026-06-19
- Solicitation number
- Not on record
- Issued by
- Northampton County, Pennsylvania
About this file
This document is a Statement of Bidder's Qualifications form for a general contractor, designed to be completed by a potential bidder for a local government contract. The form requires comprehensive details about the bidding company, including business address, federal identification number, organization date and location, years in business, financial statement, available credit, current contracts, job references, organizational type, principal members, and contract history. The form mandates that all questions be answered clearly and that the statement be notarized, serving as a formal method for local authorities to verify a contractor's capabilities and reliability before awarding a contract.
The form requests specific supporting documentation, such as a separate financial statement sheet, a credit availability letter, and job references with contact information. It also requires the bidder to disclose any previous contract defaults or instances of refusing to sign a contract at the original bid price. The bidder must authorize the local authority to verify the information provided and affirm the truthfulness of all statements through a sworn deposition, which must be signed and notarized. This document serves as a critical screening tool for local authorities to assess a contractor's qualifications, financial stability, and professional track record before entering into a potential contract agreement.
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Text version
STATEMENT OF BIDDER'S QUALIFICATIONS
(General Contractor)
All questions must be answered. The data given must be clear and comprehensive. This statement must be notarized.
l. Name of bidder_______________________________________________________________
2. Business address __________________________________________________
3. Federal Identification No. ____________________________________________
4. When organized __________________________________________________
5. Where incorporated"_________________________________________________________
How many years have you been engaged in the contacting business under your present firm or trading name _______________________
6. Financial Statement: {Attach separate sheet)
7. Credit available for this contract: (Attach letter) $ _____________________________
8. Contracts now on hand (Gross amount) $________________________________________
9. List four (4) job references (include contact person and phone number)
10. Type of organization (i.e. Corporation)__________________________________________
11. List principle members/titles____________________________________________________
12. Have you ever defaulted on a contract__________________________________________
Have you ever refused to sign a contract at your original bid____________ (If yes, explain)
Will you, upon request, furnish any other information that the Local Authority may - Require____________________________________________________________________________
13. The undersigned hereby authorizes and requests any person to furnish any information requested by the Local Authority in verification of the recitals comprising this Statement of Bidder's
Qualifications.
Dated at _________________________ this________ day of__________________ 20____________
{Name of Bidder)
By_______________________ State Of__________________________,Ss.
County of __________________
Title_______________
_________________________________________being duly sworn, deposes and says that the answers to the foregoing questions and all statements therein contained are true and correct.
This__________day of_____________________, 20_____________
(Notary Public) My Commission expires ____________________________, 20
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