9-Qualifications Questionnaire.pdf

PDF 76 KB Posted

Attached to
New Metal Roof for Fire Station 4 & 5
Solicitation number
2026008
Issued by
Indian River County, Florida

About this file

This is a Qualifications Questionnaire for a state and local contract opportunity in Florida involving the provision of roofing services for Fire Station 4 & 5. The questionnaire requires bidders to demonstrate their organizational experience, including the number of years providing relevant services, current Florida state registration numbers, and a comprehensive list of similar work completed for government agencies and private firms with detailed contact information for references. Bidders must also identify any subcontractors involved in the project, including their names, license numbers, and types of work to be performed.

The questionnaire mandates that all responding organizations provide proof of e-Verify.gov registration, detailed documentation of any litigation cases filed against the contractor within the past three years including the year filed, case number, venue, and case description. Applicants must submit supporting documentation including an occupational license or business tax receipt, proof of current liability insurance, and a completed W-9 form. These requirements establish baseline qualifications and financial responsibility for contractors bidding on the metal roof installation project for the Florida fire stations.

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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 .