Attachment 2 Qualification Form.docx

STATE OF HAWAIʻI

DEPARTMENT OF HUMAN RESOURCES DEVELOPMENT

QUALIFICATION FORM

DHRD IFB NO. 27-02-ASO

The bidder and his personnel shall meet the Experience and Personnel Qualifications as indicated in the Special Provisions of this bid. Please complete this form as fully and explicitly as possible to facilitate our evaluation of your firm. Use additional sheets and substantiating documents when necessary.

1. Business Information Exact Legal Name of Contractor:

Contractor's License (Must include C-7) Number:

Classification:

Oahu Business Location:

Telephone Number:

Fax Number:

Email Address:

Contact Person:

Telephone Number of Contact Person (if different from above):

Cellphone Number of Contact Person:

Contact Person and Phone Number for Emergency Calls during regular and after work hours (if different from above):

2. Bidder (Company) and Lead Carpet Tile Installer Experience

Bidder shall have a minimum of four (4) years of supervisory or foreman experience in the flooring trade within the past ten (10) years.

Bidder’s identified lead carpet tile installer or foreman. The lead carpet tile installer shall possess a minimum of three (3) years of experience serving in a lead carpet tile installer or foreman capacity on projects similar in scope and complexity to the Work.

Please provide the following information:

a. Summary Years of Related Professional Experience – Bidder to fill in:

Years of Related Professional Experience

Bidder (Company)

Lead Carpet Tile Installer or Foreman

b. Resumes for the following as attachments to the Qualification Form:

i. Bidder (Company)

ii. Lead Carpet Tile Installer or Foreman

In its resumes, provide:

· Years of experience;

· Employers;

· Dates of employment;

· Role/title; and

· Description of relevant commercial carpet tile replacement experience.

The Bidder’s and lead carpet tile installer’s years of experience are a qualification requirement and shall not constitute a separate subjective evaluation criterion.

c. Bidder shall list at least three (3) different flooring improvement projects by completing the following tables:

Client #1

Client’s Name:

Client’s Point of Contact:

Name

Telephone Number

Approximate Project Size or Contract Value:

Description of Work Performed:

Client #2

Client’s Name:

Client’s Point of Contact:

Name

Telephone Number

Approximate Project Size or Contract Value:

Description of Work Performed:

Client #3

Client’s Name:

Client’s Point of Contact:

Name

Telephone Number

Approximate Project Size or Contract Value:

Description of Work Performed: