2025-525_Contractor_Qualification_Form.pdf
PDF 146 KB Posted
- Attached to
- DNR RFB PAT Area 1A Portable Restrooms 2025
- Solicitation number
- 2000016719
- Issued by
- Beltrami County, Minnesota
About this file
This is a Contractor Qualification Form for the Minnesota Department of Natural Resources' PAT Area 1A Portable Restrooms 2025 project, covering Becker, Beltrami, Cass, Clearwater, Hubbard, Mahnomen, and Wadena Counties under Solicitation #2025-525. The document is a mandatory qualification form that must be submitted with a solicitation response, with contractors required to possess a current and valid Minnesota Pollution Control Agency (MPCA) License prior to award, in compliance with MPCA Chapter 7080.
The form requires detailed information from potential contractors, including their MPCA License Number, Business Name, and License Expiration Date. Failure to complete the form correctly or submit the most current version may result in the rejection of the entire solicitation response. The State reserves the right to clarify qualification information before making an award, and the solicitation response will be rejected if the specified qualifications are not met. The document provides a certification section where an authorized representative must sign, confirming the accuracy of the submitted information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DNR_RFB_PAT_Area_1A_Portable_Restrooms_2025.pdf | ||
| 2025-525_PRICE_SCHEDULE.xlsx | XLSX spreadsheet | |
| 2025-525_Specifications.pdf |
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
PAT Area 1A Portable Restrooms 2025 1 of 1 Contractor Qualification Form Solicitation # 2025-525 2/10/25
PAT Area 1A Portable Restrooms 2025
Becker, Beltrami, Cass, Clearwater, Hubbard, Mahnomen, and Wadena Counties Solicitation # 2025-525
CONTRACTOR QUALIFICATION FORM
VERSION: Original
This Contractor Qualification Form must be submitted with your solicitation response. A solicitation response received without this form, or with an outdated version, may be rejected. Prime contractors are responsible for checking all addenda for the final version of this form.
Each responder must answer each question and provide all information requested on this form. Failure to meet this requirement will result in the rejection of the entire solicitation response as non-responsive.
The State (or its representative) reserves the right to clarify the required qualification information submitted on this form before an award is made. The solicitation response will be rejected if qualifications are not met.
Qualification Requirements
1. Responding company must be in possession of a current and valid Minnesota Pollution Control Agency License (MPCA), prior to award, per MPCA Chapter 7080.
List below the required information: please print legibly
MPCA License No:
Business Name:
Lic. Expiration Date:
Certification
By signing this form, I certify the information provided is complete and accurate.
Authorized Signature: Date:
Printed Name: Telephone:
Company Name: Title:
File details come from the government source that posted it. Updated .