Engineering Statement of Qualifications Form.pdf
PDF 87 KB Posted
- Attached to
- Engineering Services
- Solicitation number
- PE-70760-NONST-2025-000000008
- Issued by
- Newton County, Georgia
About this file
This is an Engineering Statement of Qualifications Form for the Southeast Crescent Regional Commission (SCRC) or other Federally Funded Programs in Georgia. The form requests detailed information from consulting firms seeking to provide engineering and architectural services for community and economic development projects. Firms must demonstrate technical qualifications and state licensing in Georgia. The form requires submission of company background, officer information, business licenses and registrations, details on up to five relevant projects, key personnel qualifications, and three professional references. Respondents must indicate their capacity to deliver design, bid phase, and inspection services, as well as preliminary engineering reports (PERs), and confirm their ability to meet PER drafting deadlines.
The form requires firms to provide their proposed fees for design, bid phase, and inspection services, and to separately disclose any charges for preliminary engineering reports. Firms must carry Errors and Omissions Insurance and certify the accuracy of all submitted information under oath. The form includes a Section 3 Business Concern question requiring eligible firms to submit additional certification documentation, previous certifications, and action plans. All responses must be signed and notarized by an authorized officer of the firm. This qualification-based selection process prioritizes firms with demonstrated experience in SCRC and CDBG projects, requiring evidence of past successful implementation of federally funded community and economic development initiatives.
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Other files
| File | Type | Posted |
|---|---|---|
| Engineering Services RFQ_Haygood Ave.pdf |
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Text version
Engineering/Architectural
Statement of Qualifications Form
NAME OF FIRM:
ADDRESS:
1. Years in Business in Present Form:
2. Firms History and Resource Capability to Perform Required Services:
3. Titles, Names, and Addresses of all Officers:
4. List categories in which firm is legally qualified to do business. Include Licenses and
Registrations where applicable.
5. Does your firm carry Errors and Omissions Insurance?
6. If you were awarded the design, bid phase, and inspection for this project, what would your fee be?
7. Does your firm charge for the preliminary engineering report (PER)?
If yes, what would the charge be? $______________
Can your firm meet the draft PER deadline? YES____ NO______
8. List up to five (5) projects which demonstrate skills to be used on SCRC or CDBG projects. Note project name, location, owner, year, contract amount, and nature of firm’s responsibility.
1.
2.
3.
9. List key personnel (with qualifications) likely to be involved on these projects and explain their specific role in SCRC or CDBG work.
10. List three (3) references for the Firm.
1.
2.
3.
11. 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.
12. Certifying that:
Mr./Mrs./Ms. (signature) being duly sworn deposes and states he/she is the (title) of (name of firm) and answers to the foregoing questions and all statements herein contained are true and correct.
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