6-Firm Information Form.pdf

PDF 122 KB Posted

Attached to
Utilities Technology Master Plan (UTMP) and Customer Information System (CIS) Consulting Services
Solicitation number
2026003
Issued by
Indian River County, Florida

About this file

This document is a Firm Information form for a state or local government contract proposal, likely in Florida. The form requires a bidding company to provide detailed information about their organization, including years of service, state registration numbers, previous similar work with government agencies and private firms, e-Verify registration, and a comprehensive litigation history. The form has multiple sections for documenting past performance, contact details, and organizational background, with space to list up to four previous agency/firm references and their associated service details.

The form appears designed to comprehensively evaluate a potential contractor's qualifications, reliability, and professional history. Key elements include documenting the company's experience, verifying legal compliance (such as e-Verify registration), and providing transparency about past litigation. While no specific contract details or financial terms are included in this form, it serves as a critical pre-qualification document that allows the issuing agency to assess the bidder's capability, stability, and suitability for the proposed contract opportunity.

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8-RFP 2026003 for UTMP CIS Consulting Services.pdf PDF
1-Anti-Human Traffic.pdf PDF
2-Disclosure FY26 Update.pdf PDF
3-Scrutinized.pdf PDF
4-RFP-RFQ Compliance Form.pdf PDF
5-Foreign Entity Ownership.pdf PDF
9-Sample Agreement.docx DOCX document

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Text version

FIRM INFORMATION

Communications concerning this proposal shall be addressed to:

Company Name

Tax ID Number W-9 Attached □

Contact Name Phone

Title Email

Address

The following addenda are hereby acknowledged:

Addendum Number Date

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:

4. Date Registered with e-Verify.gov: Certificate #

5. 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

File details come from the government source that posted it. Updated .