Qualification Form A.pdf
PDF 93 KB Posted
- Attached to
- Honokaa State Office Building Roof Repairs
- Solicitation number
- B26003380
- Issued by
- Hawaii County, Hawaii
About this file
This is a Qualification Form A for a roof repair project at the Honokaa State Office Building issued by the Hawaii Department of Accounting and General Services (DAGS), Central Services Division, under bid number CSD-26-100-O. The project involves furnishing all labor, materials, equipment, and supervision necessary to install either a Snap-Clad metal roofing overlay system or a TPO membrane overlay system over the existing roof and skylight area to address active water infiltration. Offerors must provide bids for both line items, with the State reserving the right to select and award one line item. The qualification form requires contractors to demonstrate relevant experience and personnel qualifications as specified in the bid's special provisions.
Contractors submitting qualification responses must provide their exact legal name, Hawaii business location, contractor's license number, and emergency contact information. Offerors must document a minimum number of consecutive years of roofing repair and overlay experience immediately prior to the bid opening date and identify at least three Journeyman Roofers, each with a minimum of five consecutive years of roofing repairs, installation, or overlay experience on similar projects, including details of their employment history and training. Additionally, contractors must list at least two references from entities within the State of Hawaii, excluding state government entities, for whom they have previously performed similar work. All personnel performing work must meet the employee classification descriptions outlined in the solicitation documents.
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Text version
QUALFICATION FORM A QFA-1 CSD-26-100-O
QUALIFICATION FORM PART A
HONOKAA STATE OFFICE BUILDING – ROOF REPAIRS
The offeror and his personnel shall meet the Experience and Personnel Qualifications as indicated in the Special Provisions of this bid. Please complete this form as fully and explicitly as possible to facilitate our evaluation of your firm. Use additional sheets and substantiating documents when necessary.
Exact Legal Name of Contractor: ______________________________________________
Contractor’s License Number: _____________________
Hawaii Business Location: _____________________________________________
Telephone Number: __________________________
Email Address: _____________________________
Contact Person: ____________________________
Cellphone Number of Contact Person: ________________________
Contact Person and Phone Number for Emergency Calls during regular work hours (if different from above):
Point-of-Contact in case of Emergency – After Hours (if different from above):
Contact Person: ____________________________
Cellphone number of Contact Person: __________________________
Email Address: _______________________
QUALFICATION FORM A QFA-2 CSD-26-100-O
Contractor's/Offeror’s number of consecutive years of experience (immediately prior to bid opening date) in the field of roofing repairs and overlays:
Are services to be rendered by company employees similar or equal to public officers and employees listed in the attached employee classification description? If so, please list their positions:
List at least one (1) Journeyman Roofer who will be assigned to this contract to perform all roofing repairs and overlays work. Each Journeyman Roofer must have a minimum of five (5) consecutive years (immediately prior to bid opening) of roofing repairs and overlays experience on similar projects.
Journeyman Roofer’s Name: ____________________________
Years of Experience: ________________
Years of Experience with present employer: ________________
Type and Date of Course of Studies completed: _____________________________________
Name and Dates of previous employers the Journeyman worked for and performed tenant improvements:
QUALFICATION FORM A QFA-3 CSD-26-100-O
Journeyman Roofer’s Name: ____________________________
Years of Experience: ________________
Years of Experience with present employer: ________________
Type and Date of Course of Studies completed: _____________________________________
Name and Dates of previous employers the Journeyman worked for and performed roofing repairs, roofing installation, or roofing overlay work:
Journeyman Roofer’s Name: ____________________________
Years of Experience: ________________
Years of Experience with present employer: ________________
Type and Date of Course of Studies completed: _____________________________________
Name and Dates of previous employers the Journeyman worked for and performed tenant improvements:
QUALFICATION FORM A QFA-4 CSD-26-100-O
Offeror shall list at least two (2) references in the State of Hawaii other than the State of Hawaii government, for whom offeror has performed:
File details come from the government source that posted it. Updated .