2-02 Required Form - Firm Information Form.pdf
PDF 189 KB Posted
- Solicitation number
- RFQ #13-10-26
- Issued by
- Bell County, Texas
About this file
This is a Firm Information Form (Form 5.1) for the City of Temple, Texas, requesting pre-qualification of architectural, engineering, and surveying firms to provide professional services on an as-needed basis. The City seeks to establish a pre-qualified firms list for a continuous five-year contract period from March 1, 2026 through February 28, 2031. Firms must be licensed to practice in the State of Texas and demonstrate relevant experience through their statement of qualifications and, if required, through an interview process. The form requires respondents to identify their relevant design areas from a comprehensive list including building/facility architecture, landscape architecture, civil drainage, environmental, geotechnical, mechanical/electrical/plumbing, structural, surveying, traffic control and analysis, transportation infrastructure, water and wastewater utilities, water treatment plants, wastewater treatment plants, and other specialized services. Placement on the pre-qualified list does not guarantee selection or award of any specific project, and the City reserves the right to issue project-specific requests for qualifications when warranted by project size, complexity, or scope.
The form requires prospective respondents to provide comprehensive firm information including legal business name, business address, remit-to address, tax identification number, primary contact information, and authorized personnel contact details. Respondents must confirm their ability to execute the attached Contract Agreement for Professional Services and comply with all insurance requirements specified within the contract. The form allows respondents to state any exceptions taken to terms in the RFQ, though no exceptions are noted in this submission. No pricing information, set-asides, incumbent information, or specific funding amounts are detailed in this form, as it functions as a qualification submission vehicle rather than a pricing or award document.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FORM 5.1. - FIRM INFORMATION FORM
1. Company Information
Firm Name: ____________________________________________________________
Business Address: ______________________________________________________
Remit-to Address, if different: ______________________________________________
Tax Identification Number: _________________________________________________
Contact Person: ________________________________________________________
Phone: _______________________________________________________________
Email: ________________________________________________________________
2. Authorized Personnel State your firm’s personnel authorized to give representations regarding your qualifications statement or resulting contract, if any:
Name Phone Number Email Address
3. Agreement The successful Respondent shall be able to execute the attached Contract Agreement for Professional Services (Attachment 6.1.) and be able to comply with the insurance requirements as stated within the contract. Please confirm your ability to execute this Agreement.
____________ (initial to confirm)
4. Exceptions Taken by Respondent State exceptions taken of terms in this RFQ, if any.
5. Design Areas
Each firm’s Statement of Qualifications must clearly demonstrate relevant experience in the specific design areas for which consideration is requested. Please ensure your submission includes examples of past projects, scope of work, and outcomes related to the selected areas below.
Your firm has relevant experience and requests to be considered for design work in the following areas (check all that apply):
6. Authorization
Authorized Signature: ____________________________________________________
Print Name: ____________________________________________________________
Title: ___________________________________ Date: _______________________
Building/Facility Architecture
Landscape Architecture
Civil
Drainage
Environmental
Geotechnical
Mechanical, Electrical and Plumbing (MEP)
Structural
Surveying
Traffic Control & Analysis
Transportation Infrastructure (streets, sidewalks, rail, etc.)
Water and Wastewater Utilities Distribution and Collection
Water Treatment Plants and Pump Stations
Wastewater Treatment Plants and Lift Stations
Other (state below):
| Firm Name: |
| Business Address: |
| Remitto Address if different: |
| Tax Identification Number: |
| Contact Person: |
| Phone: |
| Email: |
| Name: |
| State exceptions taken of terms in this RFQ if any 1: |
| State exceptions taken of terms in this RFQ if any 2: |
| State exceptions taken of terms in this RFQ if any 3: |
| Other state below: |
| Print Name: |
| Title: |
| Date: |
| Text11: |
| Text12: |
| Check Box13: Off |
| Check Box14: Off |
| Check Box15: Off |
| Check Box16: Off |
| Check Box17: Off |
| Check Box18: Off |
| Check Box19: Off |
| Check Box20: Off |
| Check Box21: Off |
| Check Box22: Off |
| Check Box23: Off |
| Check Box24: Off |
| Check Box25: Off |
| Check Box26: Off |
| Check Box27: Off |
File details come from the government source that posted it. Updated .