FORM 06–QUALIFICATIONS & EXPERIENCE QUESTIONNAIRE.docx
DOCX document 95 KB Posted
- Attached to
- MyFloridaNet-3 ITN
- Solicitation number
- ITN-16760
- Issued by
- Florida
About this file
This is a Qualifications & Experience Questionnaire form issued by the State of Florida Department of Management Services for the MyFloridaNetwork-3 (MFN-3) Invitation to Negotiate (ITN No. 26/27-025). The form is designed to collect detailed information about respondents' past performance and experience in providing services similar to those sought under this procurement. Respondents are required to complete the form multiple times as needed to demonstrate relevant experience, with each submission documenting a separate contract or project. The form requests comprehensive details for up to three separate experiences, including company information, project contact persons, contract duration, service descriptions, service volume and quality metrics, contract scope and dollar value, and any similarities or differences between the referenced contracts and the services to be performed under MFN-3.
The form establishes specific eligibility restrictions regarding the source of experience references, prohibiting citations from current DMS employees, former DMS employees within the past three years, current or former employees of the respondent organization, board members, relatives, foreign-based corporations, and any individuals involved in drafting the ITN or procurement process. Each entity may only be listed once, and the Department reserves the right to contact any referenced entities or conduct independent verification of stated qualifications, or alternatively may rely solely on submitted information without additional contact. The form does not address pricing terms, set-asides, incumbent information, or funding requirements, as it functions purely as a qualifications documentation tool within the broader MFN-3 procurement process.
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Text version
4050 Esplanade Way Tallahassee, FL 32399-0950 850-488-2786
Ron DeSantis, Governor Tom Berger, Secretary
FORM 06 – QUALIFICATIONS & EXPERIENCE QUESTIONNAIRE
FOR
MyFloridaNetwork-3
ITN NO: 26/27-025
THE STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
Provide the information requested below. Print and complete this form as many times as needed to demonstrate experience in providing the same or similar services sought in this procurement.
The experience cannot be from:
a. Current employees of DMS.
b. Former employees of DMS within the past three (3) years.
c. Persons currently or formerly employed by the Respondent’s organization.
d. Board members of the Respondent’s organization.
e. Relatives.
f. Corporations based solely in a foreign country.
g. Any person involved in the drafting of this ITN or the procurement process.
The same entity may not be listed more than once.
In the event the Respondent has had a name change since the time work was performed for a listed reference, the name under which the Respondent operated at that time should be provided in the space provided for “Description of Services.”
The Department reserves the right to contact entities stated below, and also other than those identified by the Respondent, to obtain additional information regarding past performance. The Department may also, at its discretion, rely solely on the information stated below without contacting the entities listed below.
| Information |
| Experience #1 |
Company Name
Company Person
Title
Address
City
State
Telephone Number
Email Address
Contract Period / Duration (contract start date to contract end date)
Description of services, including the volume of services the quality of services provided, the size and scope of the contract, total dollar value of the contract, and any important similarities or differences between the listed contracts and the services to be performed under MFN-3.
[continued on next page]
| Information |
| Experience #2 |
Company Name
Company Person
Title
Address
City
State
Telephone Number
Email Address
Contract Period / Duration (contract start date to contract end date)
Description of services, including the volume of services the quality of services provided, the size and scope of the contract, total dollar value of the contract, and any important similarities or differences between the listed contracts and the services to be performed under MFN-3.
| Information |
| Experience #3 |
Company Name
Company Person
Title
Address
City
State
Telephone Number
Email Address
Contract Period / Duration (contract start date to contract end date)
Description of services, including the volume of services the quality of services provided, the size and scope of the contract, total dollar value of the contract, and any important similarities or differences between the listed contracts and the services to be performed under MFN-3.
ITN No.: DMS-26/27-025 Page 1 of 2 MyFloridaNet-3
FORM 06 – QUALIFICATIONS & EXPERIENCE QUESTIONNAIRE
ITN No.: DMS-26/27-025 Page 2 of 2 MyFloridaNet-3 image1.png
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