Federally_Funded_Purchase_Questionnaire.pdf

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Attached to
Design and Construction Manager Services for Two Electric Charging Stations
Solicitation number
RTSX-260056-DS
Issued by
Alachua County, Glencoe CDP, Florida

About this file

This is a Federally Funded Purchase Questionnaire administered by the City of Gainesville, Florida, in connection with a design and construction management services contract for electric charging station infrastructure at the Regional Transit System Main Facility. The project involves design and construction management services for two ChargePoint Express Depot Stations, one ChargePoint Express Power Block, and two 110-volt service outlets. The charging infrastructure is intended to support the charging of four Battery Electric Buses, with plans for four additional vehicles within the next two years.

The questionnaire is designed to collect bidder information to assist the City in establishing Disadvantaged Business Enterprise (DBE) goals with the federal government. Bidders are required to disclose whether they are certified DBEs through the Florida Unified Certification Program (UCP) maintained by the Florida Department of Transportation (FDOT), provide their firm's age, and report annual gross receipts within specified ranges from less than $500,000 to more than $5 million. Completion and submission of this questionnaire is mandatory with all bid responses. DBE certification status claimed by bidders must be verified through current listing in the FDOT DBE Directory to be recognized for contract purposes.

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FEDERALLY FUNDED PURCHASE QUESTIONNAIRE

This is a federally assisted contract and your response to this questionnaire helps the City in setting *Disadvantaged Business Enterprise (DBE) goals with the federal government. Please complete and return this form with your bid response.

Project:

Bidder Name: ______________________________________________________________________________________

Bidder Address: ____________________________________________________________________________________

Is Bidder a DBE? ___ Yes ___ No

Age of Firm: ______________________________

Annual Gross Receipts of the Firm: (check one)

___ Less than $500,000

___ $500,000-$1 million

___ $1-2 million

___ $2-5 million

___ More than $5 million

*To be able to claim DBE status referenced above the bidder must be currently listed in the Florida Unified Certification Program (UCP) Disadvantaged Business Enterprise (DBE) Directory maintained by the Florida Department of Transportation (FDOT).

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