5-00456 - Qualifications Questionnaire.pdf

Qualifications Questionnaire - 00456 - 1

SECTION 00456 – Qualifications Questionnaire

NOTICE: THE OWNER RETAINS THE DISCRETION TO REJECT THE BIDS OF NON-

RESPONSIBLE BIDDERS.

Documentation Submitted with Project No:

Project Name:

1. Bidder’s Name / Address: _________________________________________________

2. Bidder’s Telephone & FAX Numbers: ________________________________________

3. Licensing and Corporate Status:

a. Is Contractor License current? __________________

b. Bidder’s Contractor License No: _________________

[Attach a copy of Contractor’s License to the bid]

c. Attach documentation from the State of Florida Division of Corporations that indicates the business entity’s status is active and that lists the names and titles of all officers.

4. Number of years the firm has performed business as a Contractor in construction work of the type involved in this contract: ____________

5. What is the last project OF THIS NATURE that the firm has completed?

6. Has the firm ever failed to complete work awarded to you? _______

[If your answer is “yes”, then attach a separate page to this questionnaire that explains the circumstances and list the project name, Owner, and the Owner’s telephone number for each project in which the firm failed to complete the work.]

7. Has the firm ever been assessed liquidated damages? _______ number for each project in which liquidated damages have been assessed.]

8. Has the firm ever been charged by OSHA for violating any OSHA regulations? _______ number for each project in which OSHA violations were alleged.]

9. Has the firm implemented a drug-free workplace program in compliance with Florida

Statute 287.087? _____________

(In the case of a tie, preference will be given to businesses with drug-free workplace programs)

Qualifications Questionnaire - 00456 - 2

10. Has the firm ever been charged with noncompliance of any public policy or rules?

number for each project.]

11. Attach to this questionnaire, a notarized financial statement and other information that documents the firm’s financial strength and history.

12. Has the firm ever defaulted on any of its projects? _______ number for each project in which a default occurred.]

13. Attach a separate page to this questionnaire that summarizes the firm’s current workload and that demonstrates its ability to meet the project schedule.

14. Name of person who inspected the site of the proposed work for the firm:

Name: __________________________ Date of Inspections: __________________

15. Name of on-site Project Foreman: _______________________________________

Number of years of experience with similar projects as a Project Foreman: _______

16. Name of Project Manager: _____________________________________________

Number of years of experience with similar projects as a Project Manager: _______

17. State your total bonding capacity: __________________________________________

18. State your bonding capacity per job: ________________________________________

19. Please provide name, address, telephone number, and contact person of your bonding company:

[The remainder of this page was left blank intentionally]

Qualifications Questionnaire - 00456 - 3

19. Complete the following table for SIMILAR projects:

Name of Project

Date Completed

Owner

Contact Person: Name/ Email Address/Phone

Original Contract Amount

Final Contract Amount

SECTION 00456 – Qualifications Questionnaire