Qualification Form A.pdf
PDF 83 KB Posted
- Attached to
- Washington Place Driveway Recoating
- Solicitation number
- B27000201
- Issued by
- Hawaii
About this file
This is a Qualification Form A for the State of Hawaii, specifically for contract opportunity CSD-27-003-O involving the Washington Place Driveway Recoating project. The project entails recoating an existing driveway fronting Washington Place along Beretania Street. Offerors must demonstrate relevant experience and qualifications to be considered for this roadway pavement maintenance and repair service. The form requires contractors to provide their legal business name, electrical contractor's license number, Oahu business location, and contact information including emergency contact details.
Offerors must document their consecutive years of experience in roadway pavement maintenance and repair services immediately prior to the bid opening date and confirm that company employees are qualified to perform services equivalent to those of public officers and employees. Contractors are required to provide at least five references from firms in the State of Hawaii, excluding Hawaii government entities, for whom they have performed similar roadway maintenance and repair work comparable in nature and volume to the services specified in this bid. For each reference, offerors must submit the firm's name, address, contact person, telephone number, and project volume in dollars. The State reserves the right to reject any bid from an offeror whose previous performance on similar work has been deemed unsatisfactory.
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Other files
| File | Type | Posted |
|---|---|---|
| OFFER FORM B.xlsx | XLSX spreadsheet | |
| IRS W 9.pdf | ||
| Offer Form A.pdf | ||
| Plan Drawing.pdf | ||
| Wage Certificate.pdf | ||
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Specifications.pdf | ||
| Special Provisions.pdf |
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Text version
QUALFICATION FORM A QFA-1 CSD-27-003-O
QUALIFICATION FORM PART A
Washington Place Driveway Recoating
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: ______________________________________________
Electrical Contractor’s License Number: _____________________
Oahu Business Location: _____________________________________________
Telephone Number: __________________________
Fax Number: _______________________________
Email Address: _____________________________
Contact Person: ____________________________
Telephone Number of Contact Person (if different from above): ______________________
Cellphone Number of Contact Person: ________________________
Contact Person and Phone Number for Emergency Calls during regular work hours (if different from above):
QUALFICATION FORM A QFA-2 CSD-27-003-O
Contractor's/Offeror’s number of consecutive years of experience (immediately prior to bid opening date) in the field of roadway pavement maintenance and repair service:
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:
Offeror shall list at least five (5) references in the State of Hawaii other than the State of Hawaii government, for whom offeror has performed a roadway maintenance and repair, that is similar in nature and volume to the services specified in this bid, that will qualify offeror to perform the project.
The State reserves the right to reject a bid submitted by any offeror whose performance on other jobs for this type of service have been proven unsatisfactory.
1. Name of Firm: _____________________________
Address: _________________________________
Contact Person: ______________________
Telephone Number: ___________________
Project Volume ($): __________________
QUALFICATION FORM A QFA-3 CSD-27-003-O
2. Name of Firm: _____________________________
3. Name of Firm: _____________________________
4. Name of Firm: _____________________________
QUALFICATION FORM A QFA-4 CSD-27-003-O
5. Name of Firm: _____________________________
File details come from the government source that posted it. Updated .