5-Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Attached to
- Courthouse Generator
- Solicitation number
- 2026018
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire for the Florida Courthouse Generator project, a state and local contract opportunity requiring the replacement of a 1000KW emergency diesel power generator with related infrastructure improvements. The questionnaire is designed to evaluate potential contractor qualifications and experience for this project, which encompasses the installation of a structural concrete pad, a 10-foot aluminum perimeter screen enclosure wall, disconnection of the existing generator, and removal and disposal of the old equipment.
The questionnaire requires respondents to provide organizational history, Florida registration numbers, references from previous government and private sector clients with detailed contact information and service dates, subcontractor information including license numbers, e-Verify registration date, and litigation history for the past three years. Applicants must also submit supporting documentation including occupational licenses or business tax receipts, proof of current liability insurance, and a completed W-9 form. The questionnaire serves as an initial screening mechanism to establish contractor capability, regulatory compliance, and financial responsibility prior to bid evaluation or contract award.
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Text version
Qualifications Questionnaire
1. How many years has your organization been providing these services? ________
2. List State of Florida Registration Number(s):
3. List government agencies and private firm(s) with whom you have completed similar work:
Agency/Firm Name:
Address:
Contact Name: Title: _______________________________ E-Mail: Phone: _____________________________ Services Provided:
Dates of Service:
Agency/Firm Name:
Address:
Contact Name: Title: _______________________________ E-Mail: Phone: _____________________________ Services Provided:
Dates of Service:
Agency/Firm Name:
Address:
Contact Name: Title: _______________________________ E-Mail: Phone: _____________________________ Services Provided:
Dates of Service:
Agency/Firm Name:
Address:
Contact Name: Title: _______________________________ E-Mail: Phone: _____________________________ Services Provided:
Dates of Service:
Agency/Firm Name:
Address:
Contact Name: Title: _______________________________ E-Mail: Phone: _____________________________ Services Provided:
Dates of Service:
4. Subcontractors:
Type of Work Subcontractor Name License Number
5. Date Registered with e-Verify.gov:
6. List all ligation cases during the past three (3) years in which the Contractor has been a named party. Use additional sheets, as necessary.
Year filed
Case number Venue Description
Attach Occupational License/Business Tax Receipt, proof of current liability insurance and W-9.
File details come from the government source that posted it. Updated .