2026-801_Qualification_Form.pdf
PDF 125 KB Posted
- Attached to
- DNR RFB William O'Brien Day Use Sidewalks
- Solicitation number
- 2000018159
- Issued by
- Washington County, Minnesota
About this file
This is a Prime Contractor Response Qualification Form for Solicitation #2026-801, issued by Washington County for the William O'Brien Day Use Area Sidewalks project located near Marine on St. Croix. The form must be submitted with all solicitation responses and serves as a mandatory qualification document for prime contractors. Failure to submit the form or provide an outdated version may result in rejection of the entire response as non-responsive. All respondents must complete each question and provide all requested information to remain eligible for consideration.
The qualification form establishes two mandatory disqualification criteria: companies that have been found in default or had a contract terminated for cause within the last 36 months are ineligible, and companies that have received willful or repeated OSHA safety citations with a final order issued within the last 36 months are ineligible. Affirmative responses to either question result in automatic rejection of the solicitation response. The form requires an authorized signature, date, printed name, telephone number, company name, and title of the authorized representative certifying that all information provided is complete and accurate. The State reserves the right to clarify submitted qualification information before award and may reject responses if qualifications are not met.
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Other files
| File | Type | Posted |
|---|---|---|
| 2026-801_Specifications.pdf | ||
| DNR_RFB_William_O_Brien_Day_Use_Sidewalks.pdf | ||
| 2026-801_Contractor_Detail_Verification.pdf |
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Text version
William O’Brien Day Use Area Sidewalks 1 of 1 Prime Contractor Response Qualification Form Solicitation # 2026-801 4/10/26
William O’Brien Day Use Sidewalks
Washington County/Near Marine on St. Croix Solicitation # 2026-801
PRIME CONTRACTOR RESPONSE
QUALIFICATION FORM
VERSION: Original
This Prime Contractor Response 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 A solicitation response received without this form, or with an outdated version, may be rejected.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. Has your Company been found in default or had a contract terminated for cause in the last 36 months?
It is required that your company has not had this occur.
NOTE: If this question is answered as “yes”, your solicitation response will be rejected.
☐YES ☐NO
2. Has your Company received from OSHA any willful or repeated safety citations for which a final order has been issued within the last 36 months?
It is required that your company has not had this occur.
NOTE: If this question is answered as “yes”, your solicitation response will be rejected.
☐YES ☐NO
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 .