7-Form - Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Attached to
- Annual Bid for 93% Sulfuric Acid
- Solicitation number
- 2027001
- Issued by
- Indian River County, Florida
About this file
This is a Qualifications Questionnaire form for a Florida state and local contract opportunity to establish firm fixed prices for the delivery of 93% Sulfuric Acid. The questionnaire is designed to evaluate the qualifications and experience of prospective contractors bidding on this commodity supply contract. Respondents are required to provide their years of experience providing these services, State of Florida registration numbers, and detailed information regarding similar work completed for government agencies and private firms, including client contact information, service descriptions, and dates of service. The form also requests information on any subcontractors to be utilized, including the type of work and associated license numbers.
Additional requirements include documentation of e-Verify.gov registration date, disclosure of all litigation cases in which the contractor has been a named party within the past three years, and submission of supporting documentation consisting of an occupational license or business tax receipt, proof of current liability insurance, and a completed W-9 form. These qualifications criteria establish baseline requirements for contractor eligibility and past performance evaluation in advance of bid submission.
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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 .