Engineering Statement of Qualifications.pdf
PDF 92 KB Posted
- Solicitation number
- PE-66812-NONST-2026-000000061
- Issued by
- Columbia County, Georgia
About this file
This is an Engineering Statement of Qualifications form used by the Community Development Block Grant (CDBG) program, likely administered by a state Department of Community Affairs (DCA). The form requests engineering firms to provide qualifications and capacity to serve as project engineers for CDBG-funded projects. Key service requirements include preliminary engineering reports (PER), project design, bidding phase management, and construction inspection. Firms must demonstrate the ability to deliver a draft PER within 30 days of selection and final plans and specifications within a specified timeframe after Notice of Award. The form requires firms to document years in business, firm history and resource capability, community knowledge, officer information, relevant licenses and registrations, and experience with the CDBG program specifically.
Pricing submissions are required for design, bid phase, and inspection services, with firms indicating whether they charge separately for preliminary engineering reports. Firms must carry Errors and Omissions Insurance and provide necessary CDBG application documentation including maps and cost estimates. The form includes questions regarding Section 3 Business Concern status, which may trigger additional certification and action plan requirements. Applicants must provide three references and list key personnel with qualifications and their specific roles in CDBG projects. All responses require certification under oath by an authorized firm representative, confirming the accuracy and completeness of submitted information.
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Other files
| File | Type | Posted |
|---|---|---|
| Douglas RFP Score Sheet _ Engineer Selection.pdf | ||
| RFP_Engineering_Letter_Douglas.pdf | ||
| rfp.docx | DOCX document | |
| GA Procurement Opening Page.docx | DOCX document | |
| BID DOCUMENT MASTER.pdf | ||
| Section 3 Solicitation Package Only If Claimi.pdf | ||
| RFP_Engineer_ad_only_Douglas.docx | DOCX document |
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Text version
Engineering Statement of Qualifications
Engineering Statement of Qualifications
NAME OF FIRM:
ADDRESS:
1. Years in Business in Present Form:
2. Firm’s History and Resource Capability to Perform Required Services:
3. Firm’s Knowledge of the Community:
4. Titles, Names, and Addresses of all Officers:
5. List categories in which firm is legally qualified to do business. Include Licenses and Registrations where applicable.
6. Does your firm carry Errors and Omissions Insurance? YES ______ NO ______
7. Will your firm be able to provide necessary documentation for the application, including preliminary engineering reports, maps, and cost estimates as per CDBG application requirements if your firm is selected as project engineer?
YES _____ NO _____
8. Can your firm meet the draft PER deadline of no later than 30 days after selection as project engineer? YES _____ NO _____
9. If you are awarded the design, bid phase, and inspection for this project, what would your fee be?
10. Does your firm charge for the preliminary engineering report (PER)?
YES _____ NO _____
If yes, what would the charge be? $______________
11. Has your firm been involved in applying for funds through DCA’s Community
Development Block Grant (CDBG) program? YES _____ NO _____
If “YES”, give specific projects, including project name, location, owner, year, grant/total project amount, contact person(s), and nature of firm’s responsibility.
12. If your firm is selected for this project, and the grant is approved, what timeframe do you feel you will need to have final plans and specifications ready for approval by any and all applicable agencies? Please provide this information in months, such as 3 months after Notice of Award of all grants, etc.
13. List key personnel (with qualifications) likely to be involved on these projects and explain their specific role in CDBG work.
14. List three (3) references for the Firm.
1.
2.
3.
15. Are you a Section 3 Business Concern? Yes No
If yes, the Attached Section 3 Business Concern Certification, Previous
Certification and Action Plan must be filled out, signed, notarized, and submitted with your proposal.
Is the signed and notarized Section 3 Business Concern Certification, Previous Certification and Action Plan attached to your proposal? Yes
If no, you will only need to submit the Section 3 forms if you are the successful proposer.
16. Certifying that:
Mr./Mrs./Ms. (signature) being duly sworn deposes and states that he/she is the (title) of (name of firm) and that answers to the foregoing questions and all statements herein contained are true and correct.
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