Attachment C - Statement of Qualifications.pdf
PDF 119 KB Posted
- Attached to
- As Needed Culverts
- Solicitation number
- IFB-GC-RB-02-25
- Issued by
- Garfield County, Colorado
About this file
This document is a Statement of Qualifications (Attachment C) for Garfield County, Colorado, specifically for an "As Needed Culverts" solicitation with the bid number IFB-GC-RB-02-25. The form is designed for potential contractors to provide comprehensive company information and background details for a competitive sealed bid process to supply and deliver culvert materials in 2025.
The qualification form requires detailed company information including legal name, address, contact details, and business history. Prospective bidders must disclose their standing with the Colorado Secretary of State, years of business operation in Colorado and Garfield County, and provide transparency about any previous legal challenges such as lawsuits, public procurement disqualifications, or bankruptcy proceedings. The document also requests information about previous work experience similar to the solicitation and requires three professional references. A certification section at the end requires an authorized company representative to verify the accuracy of the submitted information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| IFB-GC-RB-02-25.pdf | ||
| Addendum 1.pdf | ||
| Attachment B - Bid Schedule.pdf | ||
| Attatchment E -Sample of Standard Goods.pdf | ||
| Addendum 2.pdf | ||
| Attachment A - Scope of Work.pdf | ||
| Attachment D - Non Collusion Affidavit.pdf |
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Text version
ATTACHMENT C
STATEMENT OF QUALIFICATIONS
IFB-GC-RB-02-25
As Needed Culverts
COMPANY INFORMATION
Legal Name of Company:
Trade Name, if any, of Company:
Street Address:
City, State & Zip Code:
Principal Owner/Officer Name:
Title:
Federal Employer Identification Number: ______
Telephone Number:
Facsimile Number:
Company E-mail Address:
Primary Contact and Title:
Contact E-mail Address:
COMPANY HISTORY
If a Colorado corporation or limited liability company, is the company in “good standing” with the Colorado Secretary of State? yes no
If a foreign corporation or limited liability company, is the foreign corporation or limited liability company registered to do business in Colorado and in “good standing” with the Colorado Secretary of State? yes no
How long has the company been in business in Colorado? years
How long has the company been in business in Garfield County? years
Has the company, or any officer or director acting in an official capacity, ever been successfully sued? yes no
If yes, complete the chart below, and any additional pages if necessary:
Court Case Number Year Judgment Amount
Has the company, or any of its officers or directors, ever been disbarred, suspended, or disqualified from any public procurement? yes no
Agency Agency Number Year Length of Disqualification
Has the company, or any of its officers or directors, ever been involved in a voluntary or involuntary bankruptcy proceeding? yes no
Court Case Number Year Judgment Amount
(Attach additional sheets if needed to fully respond to the above questions.)
PREVIOUS WORK EXPERIENCE
Has your company ever provided goods or services similar to the goods or services that are the subject of this solicitation for Garfield County? yes no
If yes, what was the total dollar amount of that contract? $___________ __________________
REFERENCES
Name Telephone Number Company Name Relationship
CERTIFICATION
The undersigned, as an authorized representative of the company, states that the undersigned has actual authority to sign this Statement of Qualifications; and, to the best of my knowledge, information, and belief, the information submitted in this Statement of Qualifications is true and accurate as of the date of this Statement of Qualifications is submitted.
By:
Printed Name:
Legal Title:
Date: ______________________________
File details come from the government source that posted it. Updated .