Emergency Response Form (1).pdf

PDF 193 KB Posted

Attached to
Traffic Management System Maintenance
Solicitation number
147288
Issued by
Polk County, Florida

About this file

This is an Emergency Response Capability Form (Exhibit E) for a Traffic Management System Maintenance contract opportunity with the State of Florida. The form requires bidders to provide comprehensive emergency contact information, including a primary emergency contact, secondary emergency contact, and a 24-hour hotline, with all contacts required to be available continuously throughout the year at 365 days per year. Bidders must certify their capability to respond to emergency service requests within two (2) hours as specified in the solicitation, and must identify their operations location address and distance in miles from the District. The form requires bidders to attest that they possess the necessary personnel, equipment, and operational capability to meet the emergency response requirements, with the understanding that failure to meet the required response time may constitute a material breach of contract.

Award for the Traffic Management System Maintenance contract will be made to the lowest responsive and responsible bidder based on a weighted evaluation formula applied to four sample projects: 0.6A + 0.2B + 0.1C + 0.1D. Bidders must submit the completed Emergency Response Form with their bid response. No specific pricing information, set-asides, incumbent information, or funding details are detailed within this form document itself.

View the file

Other files

Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Exhibit E Emergency Response Capability Form

Bid Number:

Bid Title:

List Emergency Contact Information

Contact Type Name Phone Number Email Address Primary Emergency Contact Secondary Emergency Contact 24-Hour Hotline, if applicable

NOTE: Emergency contacts must be available 24 hours per day, 7 days per week, for 365 days a year.

Emergency Response Capability The Bidder certifies the capability of responding to emergency service requests within the timeframe specified within the solicitation.

Required Response Time:

Two (2) Hours Other:____________

Operations Location

Address: __________________________________________________________

City/State/Zip: ______________________________________________________

Approximately ________ miles away from the District.

Business Information and Signature:

By signing below, the Bidder certifies they possess the personnel, equipment, and operational capability necessary to meet the emergency response requirements specified in the solicitation. Failure to meet the required response time may constitute a material breach of contract.

Business Name:

Signature:

Submit completed form with your bid response.

v.03.26

Bid Number:
Bid Title:
NamePrimary Emergency Contact:
Phone NumberPrimary Emergency Contact:
Email AddressPrimary Emergency Contact:
NameSecondary Emergency Contact:
Phone NumberSecondary Emergency Contact:
Email AddressSecondary Emergency Contact:
Name24Hour Hotline if applicable:
Phone Number24Hour Hotline if applicable:
Email Address24Hour Hotline if applicable:
Other:
Address:
CityStateZip:
Approximately:
Business Name:
Check Box1: Off
Check Box2: Off

File details come from the government source that posted it. Updated .