2-Contractor Info Form.pdf
PDF 285 KB Posted
- Attached to
- RFQ No. 2026-013 Owner's Representative Services for Mid-Town Construction Projects State and local contract opportunity
- Solicitation number
- 2026-013
- Issued by
- Palm Beach County, Florida
About this file
This is a Contractor Information Form for the Town of Palm Beach, Florida, associated with RFQ No. 2026-013 for Owner's Representative Services for Mid-Town Construction Projects. The Town seeks qualified firms to provide professional engineering and advisory services as the Owner's representative overseeing the progressive design-build contractor and construction of the Mid-Town Seawall Replacement project. Additional services may be engaged for the Mid-Town Linear Park construction, Mid-Town Bathroom Renovation, and Mid-Town Paving and Infrastructure Improvements. For the Seawall project, services include reviewing pricing for the guaranteed maximum cost, site inspection and testing, communications and public relations, and survey/geotechnical/utility assessment. The Town has indicated that a non-mandatory pre-proposal meeting will be held virtually via Teams, with details provided in the solicitation documents. Proposers selected for this RFQ are ineligible to be awarded the Mid-Town Seawall Replacement Progressive Design-Build Project (RFQ No. 2026-012). Proposals may not be withdrawn for one hundred eighty days from the opening date, and award shall be made to the proposer offering the best value to the Town.
The Contractor Information Form requests comprehensive company details including state registration, company name, physical and mailing addresses, owner information, primary and alternate contact personnel with phone numbers and email addresses, purchase order contacts, and accounts receivable contacts. The form is submitted to the Town of Palm Beach Purchasing Division located at 951 Okeechobee Road, West Palm Beach, Florida 33401, with contact information available by phone at 561-838-5406, fax at 561-835-4688, or through the Town's website at www.townofpalmbeach.com. The Town reserves the right to reject any and all proposals, waive non-material irregularities, and re-advertise as deemed in its best interest.
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Text version
Please Take a Moment to Provide the following Company Information
Contact Information Form Purchasing Division 951 Okeechobee Rd.
West Palm Beach, FL 33401 Phone: 561-838-5406 Fax: 561-835-4688 Web: www.townofpalmbeach.com
Part 1 | Company Information
State: Zip:
Company Name:
DBA Name (If Applicable):
Physical Address (No P.O. Boxes):
Mailing Address (If Di�erent than Above):
City:
Owner’s Name(s):
Part 2 | Contact Information
O�ce Fax:
Alternate Contact:
Alternate Phone:
Web Site:
Alternate Email :
Part 3 | Purchase Orders
Contact for Issuing Purchase Orders:
Contact Phone:
Contact Email:
TOWN OF PALM BEACH
Alternate Contact Cell Phone:
Primary Contact:
Primary Contact Phone:
Primary Contact Cell Phone:
Primary Contact Email:
Emergency After Hours Contact:
Emergency After Hours Phone:
Emergency After Hours Email:
Part 4 | Accounts Receivable
Accounts Receivable Contact:
Contact Phone:
Contact Email:
TOWN OF PALM BEACH - Contact Information Form
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