Form_7.7_-_Statement_of_Bidder's_Qualification.pdf

PDF 198 KB Posted

Attached to
Mitigation Reconstruction of a Flood Prone Home Project
Solicitation number
ITB-26-18-CW
Issued by
Volusia County, Florida

About this file

Form 7.7 is a Statement of Bidder's Qualifications document required for submission to the City of Port Orange, Florida in response to a bid solicitation for a Mitigation Reconstruction of a Flood Prone Home Project. The form requires bidders to provide comprehensive information about their organization, including the company name, permanent main office address, date of organization, state of incorporation, years in business under the current firm name, and a detailed listing of current contracts on hand with completion dates. Bidders must also describe the general character of work performed by their company and disclose any history of incomplete work or contract defaults, along with explanations if applicable.

The form further requires submission of a separate attachment listing major equipment currently owned or leased and the background and experience of principal organizational members and officers. Bidders must state available credit and provide bank references including contact name and phone number, along with authorization to allow the Owner to verify all information provided. Bidders must also authorize the Owner to obtain information from any person, firm, or corporation for verification purposes. The form must be completed, notarized, and returned with the bid submittal, with the notarization dated in 2026. The document serves as a qualification verification mechanism to ensure bidder capacity and reliability for the project, which involves the installation of a new elevated manufactured home in Port Orange, Florida.

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Text version

FORM 7.7 – STATEMENT OF BIDDER’S QUALIFICATIONS

The undersigned warrants that he or she is duly authorized to complete this document, and hereby affirms that the information contained in Form 7.7 is complete, true and correct to the best of his or her knowledge and belief.

If necessary, question may be answered on separate paper and attached with any additional information that may be pertinent.

A. Name of Bidder: _________________________________________________________________________________________________________

B. Permanent main office address: ________________________________________________________________________________________

C. Date organized: ___________________

D. If a corporation, where incorporated: ______________________________________________

E. How many years have you been engaged in the business under your present firm or trade name? _____________

F. Contracts on hand: (List these, showing amount of each contract and the approximate anticipated dates of completion.) USE SEPARATE SHEET & ATTACH TO SUBMITTAL

G. General character of work performed by your company: _____________________________________________________________

H. Have you ever failed to complete any work awarded to you? If so, where and why?________________________________

I. Have you ever defaulted on a contract? If so, where and why? ______________________________________________________

J. List your major equipment currently owned or leased: USE SEPARATE SHEET & ATTACH TO SUBMITTAL

K. Background and experience of the principal members of your organization, including the officers: USE

SEPARATE SHEET & ATTACH TO SUBMITTAL

L. Credit currently available: $____________________________

M. Give bank name, contact name and phone number: ___________________________________________________________________

Will you, upon request, fill out a detailed financial statement and furnish any other information that may be required by the Owner? ☐Yes☐No

The undersigned hereby authorizes and requests any person, firm or corporation to furnish any information requested by the Owner in verification of the recitals compromising the Statement of Bidder’s Qualifications.

Name of Business

STATE OF:_________________________ Authorized Signature

COUNTY OF: _______________________ ______________________________________________________ Printed Name and Title

The foregoing instrument was acknowledged before me by means of ☐physical presence or ☐online notarization, this _________ day of _______________________, 2026, by____________________________________________________________ and who:

☐Is personally known to me; or ☐ has produced __________________ as identification.

___________________________________________ Notary Public, State of ______________________________________ Printed, typed or stamped name, commission and expiration:

This document must be completed and returned with your Submittal

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