2027_303_Qualification_Form.pdf

PDF 146 KB Posted

Attached to
DNR RFB West White Pine Culvert Replacement
Solicitation number
2000018744
Issued by
Aitkin County, Minnesota

About this file

This is a Prime Contractor Response Qualification Form required for submission with bids to the Minnesota Department of Natural Resources' Request for Bids for West White Pine Culvert Replacement project in Aitkin County. The project involves the removal and installation of one 4-foot diameter, 65-foot long culvert with skirting on both ends on the West White Pine State Forest Road. All responses must be submitted electronically through the Swift Portal, with no email or faxed submissions accepted. Prospective bidders may conduct site visits by contacting project manager Derek Wagner at 218-429-3019. The Contractor Assistance Help Desk is available at 651-201-8100, Option 1, to assist vendors with registration and response completion. Failure to respond using the latest event version may result in bid rejection.

The qualification form requires all responding contractors to certify that their company has not been found in default or had a contract terminated for cause within the past 36 months; answers of "yes" to this question will result in automatic rejection of the entire bid response. All unit pricing must include labor, materials, tools, transportation, equipment, sales tax, use tax, and all other costs necessary for project completion. The State reserves the right to award items separately, by grouping, or by total as deemed most advantageous and will make awards to the lowest responsible vendor meeting all specifications and terms and conditions. Direct Pay Permit 1114 does not apply to this project.

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Text version

Qualification Form

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 A solicitation response received without this form, or with an outdated version, may be rejected.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 every question and provide all information requested on this form. Failure to meet this requirement may 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

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 .