Attachment_3__References_012-MJ-0925.pdf
PDF 313 KB Posted
- Attached to
- Air Traffic Control Simulator
- Solicitation number
- 012-MJ-0925
- Issued by
- Polk County, Florida
About this file
This document is a Respondent's Experience/Qualifications and References form for Bid Number 012-MJ-0925 issued by The School Board of Polk County, Florida, relating to an Air Traffic Control Simulator procurement. The form is designed to collect detailed information from potential bidders, including their business history, representative contact information, and past performance history. It requires bidders to disclose any defaults, forfeited performance bonds, bankruptcy filings, ongoing litigation, or potential merger activities.
The form specifically requests three references from agencies where the bidder has provided goods or services within the past three years, with at least one reference from a public school system. Each reference section allows for documenting the organization name, contact information, scope of work, project dollar value, contract status, and contract dates. The form also includes several yes/no questions that require detailed explanations if answered affirmatively, helping the School Board assess the bidder's reliability, financial stability, and past performance capabilities.
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Text version
The School Board of Polk County, FL Bid Number 012-MJ-0925 Air Traffic Control Simulator
RESPONDENT’S EXPERIENCE/QUALIFICATIONS AND REFERENCES
Please provide written responses to the following questions. If the answer to any of the questions is “Yes”, Bidder shall describe fully the circumstances, reasons therefore, status, and ultimate disposition of each matter that is the subject of this inquiry.
1. Years in business under present name: Years performing work specialty:
License or business tax receipt currently valid in force:
2. Bidder’s Representative Provide the following information for the person assigned to this contract. Representative will assist in the overall coordination of services to include but not be limited to quoting projects and resolving issues with invoices, etc.:
Name: Phone #: Cell #:
Email:
3. Has Bidder been declared in default of any contract? Yes No
4. Has Bidder ever forfeited on any performance bond payment issued by a surety company on any contract? Yes No
5. Has an uncompleted contract been assigned by Bidder’s surety company on any payment of performance bond issued to Bidder arising from its failure to fully discharge all contractual obligations there under? Yes No
6. Within the past three (3) years, has Bidder filed for reorganization, protection from creditors, or dissolution under the bankruptcy statutes? Yes No
7. Is Bidder now the subject of any litigation in which an adverse decision might result in a material change in the respondent’s financial position or future viability? Yes No
8. Is Bidder currently involved in any state of a fact-finding, negotiations or resistance to a merger, friendly acquisition, or hostile take-over, either as a target or asa pursuer? Yes No
9. References: Provide three references from agencies you have provided goods or services to in the past three (3) years, at least one reference should be a public-schoolsystem.
Reference # 1
Organization Name: Telephone:
Contact Name: E-mail Address:
Scope of Work Provided:
Project Dollar Value: Present Contract Status: Contract Dates:
Reference # 2
Organization Name: Telephone:
Contact Name: E-mail Address:
Scope of Work Provided:
Project Dollar Value: Present Contract Status: Contract Dates:
Reference # 3
Organization Name: Telephone:
Contact Name: E-mail Address:
Scope of Work Provided:
Project Dollar Value: Present Contract Status: Contract Dates:
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