30-ITB 26-403 - Project Experience Forms.pdf
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- Solicitation number
- ITB No.: 26-403/DL
- Issued by
- Palm Beach County, Florida
About this file
This is a Project Experience Form document for ITB No. 26-403/DL issued by a Florida authority for the Rehabilitation of Manholes, Sanitary Stations and Wet Wells. The project encompasses rehabilitation of twenty-six (26) manholes, thirteen (13) Detection Stations, two (2) Pump Stations, replacement of eleven (11) Manhole Covers and Rims in Class I and Class III landfill leachate collection systems, and five (5) Sanitary Lift Stations, with work including cleaning and protective coatings. The contractor must be a licensed and authorized Warren Environmental products applicator with a minimum of five (5) years' experience. This is structured as a phased project with an initial two (2) year contract period with the option to renew for an additional one (1) year at the Authority's sole discretion. Bidders must submit responses electronically through Bonfire by the specified date and time, with all questions or clarification requests also submitted through Bonfire by the deadline indicated in bid documents.
The document consists of three blank Project Experience Forms that bidders are required to complete, requesting details for each relevant project including project name, location, owner information, primary and secondary contact details, original contract amount, scheduled and actual completion dates, project management personnel, and a summary of the number of manholes, sanitary stations, or wet wells rehabilitated. No Small Business Enterprise (SBE) participation set-aside is required for this solicitation. Bidders must demonstrate their experience and qualifications through submission of completed forms with verifiable project references and contact information from previous work of similar scope and complexity.
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Text version
SECTION 00300
BID FORM
ITB No.: 26-403/DL – Rehab of Manholes, Sanitary - 22 – Stations and Wet Wells
PROJECT EXPERIENCE FORM # 1
Project Name: __________________________________________________________________________________________
Project Location: ________________________________________________________________________________________
Owner: ________________________________________________________________________________________________
Primary Contact (Owner’s Project Manager): __________________________________________________________________
Address: _______________________________________________________________________________________________
E-mail Address: _________________________________________________________________________________________
Telephone No.: _________________________________________________________________________________________
Secondary Contact: ______________________________________________________________________________________
Address: _______________________________________________________________________________________________
E-mail Address: _________________________________________________________________________________________
Telephone No.: _________________________________________________________________________________________
Original Contract Amount: $________________________________________________________________________________
Original Scheduled Completion Date: ________________________________________________________________________
Change Order Amount: $ _________________________________________________________________________________
Actual Completion Date: __________________________________________________________________________________
Project Manager Name: ___________________________________________________________________________________
Project Superintendent Name: ______________________________________________________________________________
Installation of the following: Total Manholes (Warren Environmental) rehabilitated __________ or Sanitary Stations rehabilitated:
__________ or Wet Wells rehabilitated: __________
Project Summary:
ITB No.: 26-403/DL – Rehab of Manholes, Sanitary - 23 –
PROJECT EXPERIENCE FORM # 2
Project Name: __________________________________________________________________________________________
Project Location: ________________________________________________________________________________________
Owner: ________________________________________________________________________________________________
Primary Contact (Owner’s Project Manager): __________________________________________________________________
Address: _______________________________________________________________________________________________
E-mail Address: _________________________________________________________________________________________
Telephone No.: _________________________________________________________________________________________
Secondary Contact: ______________________________________________________________________________________
Address: _______________________________________________________________________________________________
E-mail Address: _________________________________________________________________________________________
Telephone No.: _________________________________________________________________________________________
Original Contract Amount: $________________________________________________________________________________
Original Scheduled Completion Date: ________________________________________________________________________
Change Order Amount: $ _________________________________________________________________________________
Actual Completion Date: __________________________________________________________________________________
Project Manager Name: ___________________________________________________________________________________
Project Superintendent Name: ______________________________________________________________________________
Installation of the following: Total Manholes (Warren Environmental) rehabilitated __________ or Sanitary Stations rehabilitated:
ITB No.: 26-403/DL – Rehab of Manholes, Sanitary - 24 –
PROJECT EXPERIENCE FORM # 3
Project Name: __________________________________________________________________________________________
Project Location: ________________________________________________________________________________________
Owner: ________________________________________________________________________________________________
Primary Contact (Owner’s Project Manager): __________________________________________________________________
Address: _______________________________________________________________________________________________
E-mail Address: _________________________________________________________________________________________
Telephone No.: _________________________________________________________________________________________
Secondary Contact: ______________________________________________________________________________________
Address: _______________________________________________________________________________________________
E-mail Address: _________________________________________________________________________________________
Telephone No.: _________________________________________________________________________________________
Original Contract Amount: $________________________________________________________________________________
Original Scheduled Completion Date: ________________________________________________________________________
Change Order Amount: $ _________________________________________________________________________________
Actual Completion Date: __________________________________________________________________________________
Project Manager Name: ___________________________________________________________________________________
Project Superintendent Name: ______________________________________________________________________________
Installation of the following: Total Manholes (Warren Environmental) rehabilitated __________ or Sanitary Stations rehabilitated:
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