ADV_Bidders Qualifications Form.doc
DOC document 82 KB Posted
- Attached to
- Project TN ERFO FS CHRKE804 2020-2(5) - Cherokee National Forest Federal contract opportunity
- Solicitation number
- 693C73-26-B-000013
About this file
This is a Bidders Qualifications Form required for submission with bids on the Cherokee National Forest road repair project (Solicitation No. 693C73-26-B-000013, Project TN ERFO FS CHRKE804 2020-2(5)). The form must be completed and returned with the bid by the deadline specified in the solicitation documents, with all questions answered or marked as "not applicable."
The form requests comprehensive information about the bidding contractor, including business registration details (SAM Unique Entity ID, DUNS number, EIN), business structure (corporation, LLC, partnership, joint venture), and small business certifications (HUBZone, 8(a), women-owned, veteran-owned, service-disabled veteran-owned, or small disadvantaged business status). Bidders must provide detailed construction experience data, including years in business as general and subcontractors, owner and officer information with resumes, active contract portfolios with contact information, and descriptions of five largest relevant projects completed in the past five years with original and final contract amounts, completion dates, and surety information. The form also requires disclosure of any contract terminations, unresolved claims or lawsuits, and suspension or debarment history. Additionally, bidders must describe types of work performed as general contractors, subcontractors, and work typically subcontracted out. The authorized company official must sign and date the completed form, certifying that all statements are true and correct. Joint ventures and partnerships must submit separate forms for each participant or partner.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Results of Bid Opening - TN ERFO FS CHRKE804 2020-2(5).pdf | ||
| Amendment 0002 - TN ERFO FS CHRKE804 2020-2(5).pdf | ||
| Amendment 0001 - TN ERFO FS CHRKE 2020-2(5).pdf | ||
| IFB Solicitation - TN ERFO FS CHRKE804 2020-2(5).pdf | ||
| Geotech Report.pdf | ||
| VETS-4212 Form.pdf | ||
| FP24_Eng.pdf | ||
| Plans - TN ERFO FS CHRKE804 2020-2(5).pdf | ||
| Categorical Exclusion Form (NEPA).pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
INSTRUCTIONS: Answer all questions on this form inserting "none" or "not applicable" where appropriate. If more space is required attach additional sheets. Return the signed, dated and completed form with the bid to the address shown in the Invitation For Bids on or before the time set for the bid opening. The prospective bidder shall provide any additional information requested by the Government during evaluation of the bids.
If the prospective bidder is a joint venture or general partnership, a separate Bidder's Qualifications form shall be provided individually for each joint venture participant or partner.
1. Project Name:
TN ERFO FS CHRKE804 2020-2(5) Solicitation No.: 693C73-26-B-000013 Cherokee National Forest
2. Name and address of business:
Contractor’s SAM Unique Entity ID
Company Name
Contractor’s DUNS #
Street
Contractor’s Employer ID # (EIN)
City
State
Zip Code
County
Telephone Number (Include Area Code)
Fax Number (Include Area Code)
E-mail Address
Web site address
3. a. Type of organization (check appropriate box):
□ Individual
□ Non-profit organization
□ Corporation
□ Partnership
□ Joint Venture
State
Incorporated in: __________
□ Limited Liability Company (LLC)
If a foreign entity:
□ Individual
□ Non-profit organization
□ Corporation
| □ Partnership |
| □ Joint Venture |
b. Size of Business Concern (check appropriate boxes):
□ Large Business Concern
□ Small Business Concern
□ Emerging Small Business
Concern
□ Small Disadvantaged
Business Concern
□ Women-Owned Small
Business Concern
□ SBA 8(a) Certified SDBC
□ HUBZone Small Business
Concern
□ Veteran-owned Small
Business Concern
□ Service-Disabled Veteran Owned Small Business Concern
{See FAR Clauses 52.219-1 and 52.219-19 for small business definitions.}
4. If a joint venture or general partnership:
a. Provide the name under which the project will be bid, the home office address, and name of the principal who will represent the company with regard to this project if different from "1." above.
Principal
SAM Unique Entity ID
Business Name
DUNS #
Employer ID # (EIN)
b. Provide the name and home office addresses of each of the joint venture partners; indicate which partner is the sponsoring partner. Attach a separate sheet for additional partners.
Sponsoring Partner
Other Partner
5. Date business established: _________________________
6. Name of succeeded business, if any: _________________________
7. How many years have you been in business as:
a. General contractor: _______ Years.
b. Subcontractor: _______ Years.
8. a. Furnish the following information concerning the owner, partners, officers and directors:
| Name |
| Title |
| Percent of Business Owned |
| Years of |
Business Experience
| Contracting |
| Other |
b. Attach resumes of these key personnel as well as the on-site project manager(s) and superintendent(s), and specifically identify the following:
-Present position, responsibility, and length of employment.
-Amount and type of construction experience.
-Amount and type of highway construction experience, including position, responsibility, and a brief project description of each period of employment.
-Formal education and training, professional or technical registrations or licenses.
9. a. Active Contracts (Attach additional sheets if necessary) Must be completed. Provide contact person(s), phone numbers and e-mail addresses.
| Project Name and Contract Numbers |
| Owner's Name & Address |
Contact Person, Telephone Number, &
E-mail address Scope of Work Performed
By Your Company
| Contract Amount |
| Estimated Completion Date |
| Name of Surety |
b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet.
10. a. List no more than five of the largest jobs you have completed in the last five years which are relevant in project work scope to this project.
(Attach additional sheets if necessary) Must be completed. Provide contact person(s), phone numbers and e-mail addresses.
| Project Name and Contract Numbers |
| Owner's Name & Address Contact Person, Telephone Number; & E-mail address |
| Scope of Work Performed By Your Company |
| Original and Final Contract Amounts |
| Original and Final Completion Dates |
| Names of On-site Project Manager and Superintendent |
| Name of Surety |
b. Are there any unresolved claims or lawsuits associated with these projects? If so, state the amount in dispute, parties involved, nature and circumstances of the dispute, and status of the matter on a separate sheet.
11. Termination:
a. Has your firm ever had a contract terminated for any reason? ________
b. If the answer is yes, identify the project and owner for each termination, and explain the circumstances surrounding each termination. Attach additional sheet if necessary.
12. Debarment and Suspension:
a. Has your firm or any of the principals been suspended or debarred from bidding by any agency? ______
b. If the answer is yes, identify the agency by which debarred or suspended, and date of reinstatement. Attach additional sheet if necessary.
13. What types of work do you perform as general contractor?
14. What types of work do you perform as subcontractor?
15. What types of work do you generally subcontract?
16. Affidavit:
Certification: For the purpose of establishing construction capabilities, we furnish the above as a true and correct statement of our construction experience and further certify that all other statements are true and correct.
By (Signature of Authorized Official)
Date
Title
File details come from the government source that posted it. Updated .