7-Qualifications Questionnaire.pdf
PDF 76 KB Posted
- Solicitation number
- 2025056
- Issued by
- Indian River County, Florida
About this file
This document is a Qualifications Questionnaire designed for a potential contractor to provide detailed information about their business qualifications. The form requires comprehensive documentation of the organization's experience, including the number of years providing services, State of Florida registration numbers, previous government and private sector work history, subcontractors, e-Verify registration date, and litigation history.
The questionnaire requests specific details such as agency/firm names, contact information, services provided, dates of service, subcontractor details including type of work and license numbers, and a three-year litigation history. Respondents are also instructed to attach supporting documentation including an Occupational License/Business Tax Receipt, proof of current liability insurance, and a W-9 form. The document appears to be part of a pre-qualification or bid response process, aimed at thoroughly vetting a potential contractor's background, capabilities, and professional track record.
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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 .