Qualification Form A.pdf

PDF 85 KB Posted

Attached to
CSD Baseyard - Mezzanine Office Remodel
Solicitation number
B27000239
Issued by
Hawaii

About this file

This is a Qualification Form A for a Hawaii state contract (CSD-26-033-O) issued by the Department of Accounting and General Services (DAGS) for a mezzanine office remodel project at the CSD Baseyard. The project involves providing new modular furniture for the DAGS Central services office area on the mezzanine floor of Building 1, removing old built-in partitions, and installing new utility connections to support the new office furniture system. Prospective bidders must complete the qualification form to demonstrate their experience and personnel qualifications as outlined in the Special Provisions of the bid.

Bidders are required to provide their exact legal name, contractor's license number, Oahu business location, contact information, and emergency contact details. Contractors must document their consecutive years of experience in building tenant improvements, including modular office furniture installation. The form requires offerors to provide at least five references from firms in Hawaii, excluding Hawaii government entities, for whom they have performed similar full-service maintenance contracts with a combined annual dollar value of at least $100,000 across the five references. For each reference, bidders must supply the firm name, address, contact person, telephone number, and annual project volume. The State reserves the right to reject any bid from offerors whose performance on similar projects has been unsatisfactory.

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Other files

File Type Posted
Offer Form A.pdf PDF
AG-008 103D General Conditions (1.10.23).pdf PDF
Wage Certificate.pdf PDF
Offer Form B.xlsx XLSX spreadsheet
IRS Form W9.pdf PDF
Special Provisions.pdf PDF
Specifications.pdf PDF

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Text version

QUALFICATION FORM A QFA-1 CSD-26-033-O

QUALIFICATION FORM PART A

CSD Baseyard - Mezzanine Office Remodel

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: _____________________

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):

Point-of-Contact in case of Emergency – After Hours (if different from above):

Contact Person: ____________________________

Telephone number of Contact Person: __________________________

Cellphone number of Contact Person: __________________________

Fax Number: _________________________

Email Address: _______________________

QUALFICATION FORM A QFA-2 CSD-26-033-O

Contractor's/Offeror’s number of consecutive years of experience (immediately prior to bid opening date) in the field of providing and installing building tenant improvements to include modular office furniture:

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 total coverage Fire Alarm System maintenance service on a regular basis, that is similar in nature (full service guaranteed maintenance services) and volume (annual dollar value for the five combined referenced contracts shall be equal to or greater than $100,000.00 per year) 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.

Name of Firm: _____________________________

Address: _________________________________

Contact Person: ______________________

Telephone Number: ___________________

Annual Project Volume ($): __________________

Name of Firm: _____________________________

QUALFICATION FORM A QFA-3 CSD-26-033-O

QUALFICATION FORM A QFA-4 CSD-26-033-O

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