Qualification Form A.pdf
PDF 79 KB Posted
- Attached to
- Washington Place Driveway Recoating
- Solicitation number
- B27000464
- Issued by
- Hawaii
About this file
This is a Qualification Form A for the State of Hawaii, specifically for bid CSD-27-007-O related to the Washington Place Driveway Recoating project. The form requires contractors to provide comprehensive information about their qualifications and experience to perform roadway pavement maintenance and repair services, specifically the recoating of the Washington Place Beretania Street driveway. Contractors must submit their exact legal name, license number, Oahu business location, contact information, and details about their personnel. The form requires documentation of consecutive years of experience in roadway pavement maintenance and repair service immediately prior to the bid opening date, along with confirmation that company employees are qualified to perform work similar to public employees as outlined in the attached employee classification description.
Additionally, the form mandates that offerors provide at least five references from firms in the State of Hawaii for whom they have completed roadway maintenance and repair projects of similar nature and volume to the services specified in this bid. Each reference entry must include the firm's name, address, contact person, telephone number, and project cost. The State of Hawaii reserves the right to reject any bid from an offeror whose performance on similar projects has been determined to be unsatisfactory, making the reference submission and qualification documentation critical components of the bid evaluation process.
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Other files
| File | Type | Posted |
|---|---|---|
| IRS W 9.pdf | ||
| Plan Drawing.pdf | ||
| Specifications.pdf | ||
| Wage Certificate.pdf | ||
| Offer Form A.pdf | ||
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Special Provisions.pdf | ||
| OFFER FORM B.xlsx | XLSX spreadsheet |
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Text version
QUALFICATION FORM A QFA-1 CSD-27-007-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: ______________________________________________
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):
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:
QUALFICATION FORM A QFA-2 CSD-27-007-O
Offeror shall list at least five (2) references in the State of Hawaii 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 Cost ($): __________________
2. Name of Firm: _____________________________
Address: _________________________________
Contact Person: ______________________
Telephone Number: ___________________
Project Cost ($): __________________
File details come from the government source that posted it. Updated .