223102 CBJTC Lodging Cart Contractor's Exp.docx
DOCX document 43 KB Posted
- Attached to
- 223102 CBJTC Lodging Cart Storage Building
- Solicitation number
- ITB-09523
- Issued by
- Clay County, Florida
About this file
This document is the Contractor's Experience Questionnaire and Financial Statement for a state and local contract opportunity issued by the State of Florida, Department of Military Affairs for the construction of a 40" x 60" lightweight metal building with a vertical roof for lodging and golf cart storage at the Camp Blanding Joint Training Center in Starke, Florida. The project has an estimated construction cost of $250,000. Bidders are required to submit the FNG 5085 form along with their bid, which details their previous experience on similar projects, any differences between original and final contract pricing/completion dates, and any liquidated damages, penalties, liens, defaults or cancellations. Prospective contractors must also meet various licensing, registration, and bonding requirements.
The solicitation indicates that the selected contractor will be responsible for obtaining all necessary building permits, except for the permit from the State Fire Marshal, which will be obtained by the owner. Contractors are subject to federal debarment and suspension regulations, and the owner will check the Excluded Parties List System before making an award. No additional details on pricing terms, set asides, funding sources, or the incumbent contractor are provided.
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CONTRACTOR’S EXPERIENCE QUESTIONNAIRE AND FINANCIAL STATEMENT
| OWNER'S INSTRUCTIONS FOR |
| PREQUALIFICATIONS FOR AWARD OF THE CONTRACT ON LEVELS FOUR AND FIVE CONTRACTS |
The information listed in this Exhibit is required to be filed with soliciting agencies prior to award of any contract. In order to expedite the processing of contracts, please complete the enclosed forms or attach required documentation in accordance with these instructions.
Heading
| Project Title Indicate title of project as shown in the solicitation/specifications. |
| Project Number – State/Federal project number assigned see original solicitation/specifications. |
| Location Project location as shown in the solicitation/specifications. |
Item 1 List projects of comparable size, scope and complexity to subject project.
Item 2-3 Complete in accordance with form.
If additional space is required, please attach supplementary pages.
ADDITIONAL QUALIFICATION REQUIREMENTS/INSTRUCTIONS
The following must be included with packet-use as check list
1. Copy of Florida State Contractor License (If Applicable).
2. Corporate Charter Number.
3. Proof of Contractor's active office within 150 road miles of project. (Attach Map Quest or like) (see 60D-5.004(2)(b)1.f.)
4. Contractor agreement to perform no less than 15% of the construction work utilizing its own employees, on company letterhead (required for Bids in excess of $500,000.00 (Level Five).
5. Resumes of experience for Project Manager and Project Superintendent meeting the requirements at 60D-5.003(2)(b)i, F.A.C. (required for Bids in excess of $500,000.00 (Level Five)
6. List of projects and their status for a period of thirty-six months prior to solicitation.
7. Proof Contractor has successfully completed no less than two (2) projects of similar scope, size and complexity within the last five (5) years, see item 1. Complete as instructed, do not use other forms or alter our format. Additional information may be included with pictures. Do not submit projects that were performed as a subcontractor or not yet completed. Specify if the project was new construction or renovation. Do not reuse this form from previous project submittals as the form could have changed to meet specific requirements (required for Bids in excess of $500,000.00 (Level Five).
8. Proof of vendor registration in MyFloridaMarketplace at www.dms.myflorida.com.
9. Letter of Confirmation from your bonding company stating that you can bond or have bonded with this company.
March 2013 FNG 5085
FNG 5085
CONTRACTOR’S EXPERIENCE QUESTIONNAIRE AND FINANCIAL STATEMENT Continued
| 1. | List all projects of similar size, scope and complexity successfully completed by your organization in the previous five years. |
| Projects MUST be listed in spaces below for Level Five. Additional information may be attached if desired. (Required for Bids in excess of $500,000.00 (Level Five) |
| A |
| B |
C. Original Contract Price/
Completion Dates:
Name of Owner (Include POC & phone numbers) Name, Location & Description of Project
Type of Work (Renovation or New Construction) Name of Design Architect and/or Design Engineer (Include POC & phone numbers)
| D. Final Contract Price |
| E. |
Original
| F. Revised |
| G. Actual |
FNG5085
March 2013 FNG5085 CONTRACTOR’S EXPERIENCE QUESTIONNAIRE AND FINANCIAL STATEMENT continued
With reference to all contracts completed by your organization in the previous fiscal years, as listed on item 1, answer the following questions:
2. Explain differences in original and final contract price, and original and actual completion dates, if any. (Required for Bids in excess of $500,000.00 (Level Five)
3. Were there any liquidated damages, penalties, liens, defaults or cancellations imposed or filed against your organization?
If so, list the name and location of the project, as shown in Column A, explain. (Required for Bids in excess of $500,000.00 (Level Five)
March 2013 FNG5085
FNG 5085
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