8-Form - Qualifications Questionnaire.pdf

PDF 76 KB Posted

Attached to
Property Appraiser Office Remodel (Rebid)
Solicitation number
2027014
Issued by
Indian River County, Florida

About this file

This is a Qualifications Questionnaire form for the Property Appraiser Office Remodel (Rebid) project in Florida. The form requires prospective contractors to demonstrate their qualifications and experience to compete for this interior renovation project, which encompasses all labor, materials, equipment, supervision, and incidentals necessary to complete the work. Respondents must provide their years of experience in providing these services, their State of Florida Registration Number(s), and detailed references from at least five government agencies or private firms with whom they have completed similar work, including contact information and dates of service.

The questionnaire additionally requires contractors to identify any subcontractors and their associated license numbers, provide their e-Verify.gov registration date, and disclose all litigation cases from the past three years in which they have been a named party. Supporting documentation must be attached, including an Occupational License or Business Tax Receipt, proof of current liability insurance, and a W-9 form. The form does not specify pricing terms, contract duration, set-asides, or other financial requirements on this document alone.

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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 .