9-Seneca Form D.pdf
PDF 90 KB Posted
- Attached to
- Seneca Park Tennis Courts Renovations
- Solicitation number
- RFP260174
- Issued by
- Bath County, Kentucky
About this file
This is a Certification of Qualifications form (Form D) submitted by the Louisville Parks and Recreation Department for the Seneca Park Tennis Courts Repair project located at 3151 Pee Wee Reese Road in Kentucky. The form requires bidding firms to certify their qualifications to perform specialty work on this project, which encompasses asphalt milling and paving, tennis and pickleball courts installation, fence work, and concrete walk construction. Firms must document their experience with work of similar size and complexity and identify the key specialist technicians who will perform the corresponding work on the contract. The form stipulates that only technicians listed on the certification are authorized to perform the designated specialty work.
The certification form requires completion by an authorized official of the firm and notarization, with the official's signature, date, notary signature, date, and notary seal required for submission. This document serves as a pre-qualification mechanism to ensure that bidders possess the necessary expertise and personnel to successfully execute the tennis courts renovation project. No pricing, set-asides, funding sources, or contract term information is specified within this certification form, as it functions solely as a qualifications verification document required during the bidding process.
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Text version
LOUISVILLE PARKS AND RECREATION DEPARTMENT
SENECA PARK TENNIS COURTS REPAIR
FORM D
CERTIFICATION OF QUALIFICATIONS
(COPY THIS FORM FOR EACH SPECIALTY FIRM)
I hereby certify that this firm has performed work of size and complexity similar to the work on this contract in the following specialty categories:
TYPE OF SPECIALTY WORK
I hereby certify that the key specialist technicians who would perform work on this contract are the same as those listed herein, and that their experience records documented on this form are accurate and complete. Only technicians listed herein may perform the corresponding specialty work for this contract.
FIRM NAME
AUTHORIZED OFFICIAL FOR FIRM DATE
NOTARY’S SIGNATURE DATE
NOTARY SEAL
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