28-ITB 26-403 - Bidders Qualifications Statement.pdf

SECTION 00300

BID FORM

ITB No.: 26-403/DL – Rehab of Manholes, Sanitary - 25 – Stations and Wet Wells

BIDDER’S QUALIFICATIONS STATEMENT

BIDDER shall furnish the following information. All questions to be answered in full, without exception. If copies of other documents will provide the appropriate answer to the question, they must be attached and clearly labeled. Failure to comply with this requirement shall render the Bid as non-responsive and may cause its rejection. Additional sheets shall be attached as required.

1. BIDDER'S Name, Principal Address, Phone Number, Fax Number and Email Address:

2. Number of years as a Contractor approved and authorized Warren Environmental products installer (minimum 5 years’ experience:

3. Names and titles of all officers, partners or individuals doing business under trade name:

4. The business is a: Sole Proprietorship Partnership Corporation

5. What is the last project of this nature that you have completed?

6. Have you ever failed to complete work awarded to you. If so, when, where and why?

7. List the pertinent experience to include training of the key individuals who will be providing work under this contract. (Continue on insert sheet and provide documentation, if necessary).

8. State the name and licensing or certifications of the individual who will have personal supervision of the WORK.

ITB No.: 26-403/DL – Rehab of Manholes, Sanitary - 26 –

9. Is the Bidder an approved Warren Environmental products installer as certified and licensed by the manufacturer? Bidder shall submit documentation of certification.

10. What equipment do you own that is available for the WORK? (Attach additional sheets as necessary)

11. What equipment will you purchase/rent for the proposed WORK?

12. Does the Bidder have Quality Control and Quality Assurance procedures/measures? If no, please explain, and if yes, give details.

13. Has the Bidder or any principals of the Firm failed to qualify as a responsible Bidder, refused to enter into a contract after an award has been made, failed to complete a contract during the past five (5) years, or been declared to be in default in any contract for the last five (5) years? If yes, please explain below:

14. List and describe all bankruptcy petitions (voluntary and involuntary) which have been filed by or against the BIDDER, its parent or subsidiaries or predecessor organizations during the past five (5) years. Include in the description, the disposition of each petition.

15. List all claims, arbitrations, administrative hearings and lawsuits brought by or against the BIDDER or its predecessor organization(s) during the last five (5) years. The list shall include case names, case arbitration or hearing identification numbers, the name of the project which the dispute arose, and a description of the subject matter of the dispute.

16. Is the BIDDER currently in default on any loan agreement or financing agreement with any bank, financial institution, or other entity? If yes, specify in detail the circumstances and prospects for resolution.

ITB No.: 26-403/DL – Rehab of Manholes, Sanitary - 27 –

17. Has the Bidder in the past four (4) years, been rendered a final adjudicated determination in a legal or administrative proceeding in the State of Florida that the Bidder discriminated against its subcontractors, vendors, suppliers or commercial customers? If yes, Bidder shall provide a list of all instances to include but not limited to; description of the status or resolution of the complaint, including any remedial action taken. (Attach additional sheets as necessary)

The BIDDER acknowledges and understands that the information contained in response to this Qualification’s Statement shall be relied upon by AUTHORITY in awarding the contract and such information is warranted by BIDDER to be true. The discovery of any omission or misstatement that materially affects the BIDDER’S qualifications to perform under the contract shall cause the AUTHORITY to reject the Bid, and if after the award, to cancel and terminate the award and/or contract.

The BIDDER also acknowledges that all information listed above may be checked by the AUTHORITY and authorizes all entities or persons listed above to answer any and all questions. BIDDER hereby indemnifies the AUTHORITY and persons or entities listed above and hold them harmless from any claim arising from such authorization or the exercise thereof, including the dissemination of information requested above.

PUBLIC RECORDS ACT/INFORMATION DISCLOSURE TO THIRD PARTIES: The law provides for certain exemptions from disclosure. If the BIDDER believes that some information contained in their Proposal is exempt or exempt and confidential from disclosure, the BIDDER is instructed to label such information as specifying the exact section of the public records, or other Florida or Federal law that justifies nondisclosure, and request in writing the AUTHORITY keep such information confidential and free from disclosure. The AUTHORITY reserves the right to make any final determination of the applicability of the public records or other Florida or Federal law. Prior to releasing any information, the AUTHORITY will inform the BIDDER and allow the BIDDER to seek an injunction prohibiting the AUTHORITY from releasing the information. Each BIDDER agrees that the AUTHORITY may reveal any confidential and exempt materials to designated AUTHORITY staff and Palm Beach County officials involved in the evaluation process, and to any outside consultant or third parties who serve on the Evaluation Committee or who are hired by the AUTHORITY to assist in the evaluation process.

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(Signature)

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