7-Form - Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Solicitation number
- 2027007
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire for a State of Florida contract opportunity involving roof replacement work at Sandridge Golf Course in Vero Beach, Florida. The questionnaire requires prospective contractors to provide organizational background information, including years of service experience, Florida registration numbers, and documentation of similar work completed for government agencies and private firms. Bidders must list up to five relevant references with complete contact information, specify any subcontractors and their license numbers, and provide proof of e-Verify registration. The form also requires disclosure of any litigation cases in which the contractor has been a named party during the past three years, with supporting documentation of case numbers, venue, and descriptions.
Respondents must submit supporting documentation including occupational licenses or business tax receipts, proof of current liability insurance, and completed W-9 forms. The contract scope involves providing all labor, supervision, materials, equipment, and incidentals necessary to remove and replace roof covering on cart barns at Sandridge Golf Course located at 5300 73rd Street, Vero Beach, FL 32967. This questionnaire serves as the primary vehicle for evaluating contractor qualifications and compliance with state registration and insurance requirements prior to award consideration.
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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 .