6-Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Solicitation number
- 2026015
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire for a Florida state and local contract opportunity related to the Operations of the Biosolids Dewatering Facility, Sludge Dewatering, and Hauling. The questionnaire is designed to evaluate bidder qualifications and experience in providing these specialized services. Prospective contractors must demonstrate their organizational history and relevant experience by providing years of service, Florida state registration numbers, and detailed information regarding previous government agencies and private firms with whom they have completed similar work. The questionnaire requires bidders to list at least five references with complete contact information including agency or firm name, address, contact person title, email, phone number, services provided, and dates of service.
The questionnaire also requires bidders to disclose all subcontractors involved in the work with their respective license numbers, provide proof of e-Verify registration, and report any litigation cases in which the contractor has been a named party during the past three years, including the year filed, case number, venue, and case description. Bidders must submit supporting documentation including their occupational license or business tax receipt, proof of current liability insurance, and a completed W-9 form. This comprehensive qualification process ensures that only experienced and properly credentialed contractors are considered for this specialized wastewater treatment facility operations contract.
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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 .