6-00456 - Qualifications Questionnaire.pdf
PDF 164 KB Posted
- Attached to
- REBID - Floravon Shores Septic to Sewer
- Solicitation number
- 2026027
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire for Indian River County, Florida, supporting a rebid for the Floravon Shores Septic to Sewer construction project. The project involves construction of a new gravity sanitary sewer system serving residential areas along 110TH Place, 110th Street, and US Highway #1, comprising approximately 893 linear feet of 8-inch sewer main, 5 manholes, 418 linear feet of 8-inch HDPE sewer directional bore, 19 service laterals, and related appurtenances. Prime contractors seeking access to confidential project plans must execute a Non-Disclosure Agreement (NDA) no less than 14 days prior to the bid due date, with the completed and signed NDA form and evidence of signatory authority submitted to procurement@indianriver.gov. Only one email address per prime contractor will be granted access under the NDA.
Prospective bidders must be aware that ONLY SURETY2000 electronic bonds are accepted as surety, in addition to certified or cashier's checks, with further details available at www.surety2000.com. The Instructions to Bidders contain additional requirements outlined in Article 8 regarding bonding and financial security specifications.
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Text version
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
| Documentation Submitted with Project No: |
| Project Name: |
| Textfield: |
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| Is Contractor License current: |
| Bidders Contractor License No: |
| the type involved in this contract: |
| Textfield-1: |
| Has the firm ever failed to complete work awarded: |
| Has the firm ever been assessed liquidated damages: |
| Has the firm ever been charged by OSHA for violati: |
| Statute 287087: |
| Textfield-2: |
| Has the firm ever defaulted on any of its projects: |
| Name: |
| Date of Inspections: |
| Name of onsite Project Foreman: |
| Number of years of experience with similar project: |
| Name of Project Manager: |
| Number of years of experience with similar project-0: |
| State your total bonding capacity: |
| State your bonding capacity per job: |
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