7-Bidder’s Qualification Form.pdf
PDF 180 KB Posted
- Attached to
- Police Station Improvements
- Solicitation number
- ITB No. 2026-010
- Issued by
- Palm Beach County, Florida
About this file
This is a Bidder's Qualification Form from the Town of Palm Beach, Florida, used to evaluate contractor eligibility for the Police Station Improvements project. The form requires qualified contractors to provide comprehensive company information including legal name, address, business structure (corporation, partnership, or individual), incorporation details, and principal officer names and election dates. Vendors must demonstrate their length of time in business overall and specifically as a service organization operating continuously in Florida. The form serves as a preliminary screening mechanism to ensure proposers possess the capability to perform the required services in a timely and satisfactory manner as determined solely by the Town of Palm Beach.
The form mandates several compliance requirements and disclosures. All bidders must hold a current County and/or Municipal Tax Receipt (Occupational License) at their fixed business location. Additionally, vendors must disclose any officers, directors, or agents employed by the Town of Palm Beach, as well as any Town employees who own direct or indirect interests in the bidder's firm or its branches, including the percentage of ownership interest. Out-of-state corporations must provide authorization documentation demonstrating current authorization to conduct business in Florida. The information submitted through this qualification form will be analyzed and considered as a determining factor in contract award decisions.
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Text version
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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