7-Form - Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Attached to
- Sandridge Golf Club Bulkhead Replacement
- Solicitation number
- 2026022
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire document for a Florida state and local contract opportunity related to bulkhead replacement services at Sandridge Golf Club. The questionnaire serves as an evaluation tool to assess contractor qualifications and experience for this project, which requires the provision of all labor and materials to replace bulkheads according to specifications outlined in the Kastner Engineering, LLC Bulkhead Plan.
The questionnaire requests comprehensive information regarding contractor qualifications, including years of experience providing similar services, State of Florida registration numbers, and detailed references from government agencies and private firms with whom the contractor has completed comparable work. Contractors must provide subcontractor information with corresponding license numbers, proof of e-Verify.gov registration dates, and disclosure of any litigation cases in which the contractor has been a named party during the past three years. Supporting documentation requirements include occupational licenses or business tax receipts, proof of current liability insurance, and W-9 forms. This questionnaire establishes the baseline qualifications and compliance standards necessary for bidders to demonstrate their capability and eligibility to execute the bulkhead replacement project.
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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 .