2-Bidder’s Qualification Form - Rev001.pdf

180 KB Posted

Attached to
Sole Source Procurement - MVB3X Modular Vehicle Barrier System
Solicitation number
SS No. 2026-22
Issued by
Palm Beach County, Florida

About this file

Written by GovTribe AI ·

This is a Bidder's Qualification Form issued by the Town of Palm Beach, Florida, designed to evaluate the qualifications and eligibility of vendors submitting proposals for Town contracts. The form requires proposers to provide comprehensive information including legal business name and address, business structure (corporation, partnership, or individual), incorporation details, principal officer names and titles, length of time in business both generally and specifically as a service organization in Florida, and disclosure of any conflicts of interest involving Town employees. All bidders must hold a valid County and/or Municipal Tax Receipt (Occupational License) at their fixed business location to be considered for contract award. The Town of Palm Beach uses the information gathered through this form as a factor in determining contract awards and to ensure that proposers can sufficiently and efficiently perform required services in a timely and satisfactory manner.

The form establishes that the most stringent requirements apply in cases where terms and conditions conflict. Additionally, all bidders must disclose the names of any officers, directors, or agents who are also Town employees, as well as any Town employees who directly or indirectly own an interest in the bidding firm or its branches, including the percentage of ownership interest. Completion and submission of this qualification form is mandatory for all proposers seeking consideration for any resulting contract with the Town of Palm Beach.

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TOWN OF PALM BEACH

Bidder’s Qualification Form

Note: Information requested herein and submitted by the proposers will be analyzed by the Town of Palm Beach and will be a factor considered in awarding any resulting contract. The purpose is to ensure that the Proposers, in the sole opinion of the Town of Palm Beach, can sufficiently and efficiently perform all the required services in a timely and satisfactory manner as will be required by the subject contract. If there are any terms and/or conditions that are in conflict, the most stringent requirement shall apply.

The Vendor, as a result of this bid proposal, must hold a County and/or Municipal Tax Receipt (Occupational License) in the area of their fixed business location. Each proposer must complete the following information and submit with their proposal in order to be considered:

1. Legal Name and Address:

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Email: ___________________________________________________________________________

City, State, Zip: ____________________________________________________________________

Phone/Fax: _______________________________________________________________________

2. Check One: Corporation ( ) Partnership ( ) Individual ( )

3. If Corporation, state:

Date of Incorporation: ____________________________

State in which Incorporated: _______________________

4. If an out-of-state Corporation, currently authorized to do business in Florida, give date of such authorization: ___________________________________

5. Name and Title of Principal Officers: Date Elected:

6. The Vendor’s length of time in business: _____ years

7. The Vendor’s length of time (continuous) in business as a service organization in Florida: _____ years

8. All bidders must disclose with their bid the name of any officer, director or agent who is also an employee of the Town. Further, all bidders must disclose the name of any Town employee who owns, directly or indirectly, an interest in the bidder’s firm or any of its branches.

Name: ___________________________________________________________________________

Percentage of Interest: _____ %

Name:
Address:
Email:
City State Zip:
PhoneFax:
Date of Incorporation:
State in which Incorporated:
authorization:
Name and Title of Principal Officers 1:
Name and Title of Principal Officers 2:
Name and Title of Principal Officers 3:
Name and Title of Principal Officers 4:
Date Elected 1:
Date Elected 2:
Date Elected 3:
Date Elected 4:
The Vendors length of time in business:
The Vendors length of time continuous in business as a service organization in Florida:
Name_2:
Percentage of Interest:
Group1: Off

File details come from the government source that posted it. Updated .