7-Form - Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Attached to
- North County Library Roof Replacement
- Solicitation number
- 2026032
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire form for the North County Library Roof Replacement project in Florida, requiring contractors to demonstrate their experience and capability to perform roofing services. The questionnaire requests documentation of organizational experience in providing similar services, including years in business, Florida registration numbers, and references from government agencies and private firms with whom the contractor has completed comparable work. Contractors must provide detailed contact information for at least five references, including the agency or firm name, address, contact person, title, email, phone number, services provided, and dates of service. Additionally, the form requires identification of any subcontractors and their license numbers, registration date with e-Verify.gov, and disclosure of all 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.
Supporting documentation required with the questionnaire submission includes proof of current occupational license or business tax receipt, evidence of current liability insurance, and a completed W-9 form. This qualifications questionnaire is designed to verify contractor eligibility and capability before formal bid consideration for the roof replacement project, which involves removing the existing roof system and installing a new engineered standing seam metal roof system in accordance with applicable codes and industry standards.
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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 .