6-Bidder’s Qualification Form.pdf

180 KB Posted

Attached to
Pinewalk Transfer Station Repairs
Solicitation number
ITB No. 2026-012
Issued by
Palm Beach County, Florida

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Written by GovTribe AI ·

This is a Bidder's Qualification Form issued by the Town of Palm Beach, Florida, for the Pinewalk Transfer Station Repairs project. The project involves restoration, repair, and replacement of deteriorated steel, hardware, concrete components, pavement surfaces, and trench pavement surface repairs at the transfer station located at Pine Walk on the Ocean Course at the Breakers property. The scope also includes replacement of ramp access guide rails, installation of a leachate drain connected to a brick manhole, application of maintenance coating as specified in plans, and erosion control replacement on the ramp. A non-mandatory pre-bid meeting will be held virtually via Microsoft Teams, with details provided in the project files and events section. Online bid submission is required through Euna Procurement (Bonfire), the Town's eProcurement platform. Award will be made to the lowest responsive and responsible bidder meeting all requirements and criteria established in the Invitation to Bid.

The Engineer's Opinion of Cost for the project is $206,290. All prospective bidders must hold a County and/or Municipal Tax Receipt (Occupational License) in the area of their fixed business location. The qualification form requires bidders to disclose their legal entity type (corporation, partnership, or individual), incorporation information, principal officers and their election dates, length of time in business overall and continuously in Florida as a service organization, and any conflicts of interest involving Town employees who are officers, directors, agents, or owners of the bidding firm. This information will be analyzed by the Town to ensure proposers can sufficiently and efficiently perform all required services in a timely and satisfactory manner.

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TOWN OF PALM BEACH

Bidder’s Qualification Form

Note: Information requested herein and submitted by the proposers will be analyzed by the Town of Palm Beach and will be a factor considered in awarding any resulting contract. The purpose is to ensure that the Proposers, in the sole opinion of the Town of Palm Beach, can sufficiently and efficiently perform all the required services in a timely and satisfactory manner as will be required by the subject contract. If there are any terms and/or conditions that are in conflict, the most stringent requirement shall apply.

The Vendor, as a result of this bid proposal, must hold a County and/or Municipal Tax Receipt (Occupational License) in the area of their fixed business location. Each proposer must complete the following information and submit with their proposal in order to be considered:

1. Legal Name and Address:

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

Email: ___________________________________________________________________________

City, State, Zip: ____________________________________________________________________

Phone/Fax: _______________________________________________________________________

2. Check One: Corporation ( ) Partnership ( ) Individual ( )

3. If Corporation, state:

Date of Incorporation: ____________________________

State in which Incorporated: _______________________

4. If an out-of-state Corporation, currently authorized to do business in Florida, give date of such authorization: ___________________________________

5. Name and Title of Principal Officers: Date Elected:

6. The Vendor’s length of time in business: _____ years

7. The Vendor’s length of time (continuous) in business as a service organization in Florida: _____ years

8. All bidders must disclose with their bid the name of any officer, director or agent who is also an employee of the Town. Further, all bidders must disclose the name of any Town employee who owns, directly or indirectly, an interest in the bidder’s firm or any of its branches.

Name: ___________________________________________________________________________

Percentage of Interest: _____ %

Name:
Address:
Email:
City State Zip:
PhoneFax:
Date of Incorporation:
State in which Incorporated:
authorization:
Name and Title of Principal Officers 1:
Name and Title of Principal Officers 2:
Name and Title of Principal Officers 3:
Name and Title of Principal Officers 4:
Date Elected 1:
Date Elected 2:
Date Elected 3:
Date Elected 4:
The Vendors length of time in business:
The Vendors length of time continuous in business as a service organization in Florida:
Name_2:
Percentage of Interest:
Group1: Off

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