Qualification Questionnaire Prime.docx
DOCX document 31 KB Posted
- Attached to
- CEI Continuing Professional Services
- Solicitation number
- RFP 360 2026053 1
- Issued by
- Palm Beach County, Florida
About this file
This is a Prime Consultant Qualification Questionnaire form used by Palm Beach County for the CEI Continuing Professional Services contract opportunity in Florida. The form requires prime consultants to submit detailed information in a standardized format, including firm identification, business structure, employee count, office location, and contact person details. Consultants must indicate their scope of work as a percentage of the total team, specify the portion of work to be performed locally within Palm Beach County offices versus non-locally, and provide documentation of any applicable Small Business Enterprise (SBE) or Minority/Women Business Enterprise (M/WBE) certifications from Palm Beach County or the State of Florida.
The questionnaire requires consultants to report their volume of work by listing all Palm Beach County Board of County Commissioners projects awarded in the current and three preceding fiscal years (October 1 to September 30), including fees earned as prime consultants or subconsultants. These fees are weighted based on fiscal year timing, with current year fees calculated at a 1.00 factor, previous year fees at 0.75, fiscal year once removed at 0.50, and fiscal year twice removed at 0.25, with the total fees considered used for evaluation purposes. The form must be signed and certified by an authorized representative of the prime consultant firm and submitted according to the RFP or other submittal requirements, with all certifications required to be valid on the due date.
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Other files
| File | Type | Posted |
|---|---|---|
| Alternate Format Availability.pdf | ||
| Prime Firms SBE Past Participation Statement.docx | DOCX document | |
| Qualification Questionnaire Prime.pdf | ||
| Instructions for Completing a CCNA RFP.pdf | ||
| Conflict of Interest.docx | DOCX document | |
| OSBD Schedules and Instructions.pdf | ||
| RFI Form.pdf | ||
| Conflict of Interest.pdf | ||
| Prime Firms SBE Past Participation Statement.pdf | ||
| RFI Form.docx | DOCX document | |
| Qualification Questionnaire Subconsultant.pdf | ||
| Disclosure of Ownership Interests.docx | DOCX document | |
| Commercial Non-discrimination.pdf | ||
| 2026053 - CCNA RFP Package - signed.pdf | ||
| Commercial Non-discrimination.docx | DOCX document | |
| Qualification Questionnaire Subconsultant.docx | DOCX document |
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Text version
PRIME CONSULTANT QUALIFICATION QUESTIONNAIRE
The detailed data requested here must be submitted in this format only.
Use as many pages as needed to provide the following required information:
PROJECT
Name:___________________________________________________ Proj. # ______________ PRIME CONSULTANT (Prime) Firm Name: ___________________________________________________________________ The undersigned intends to perform work in connection with the above project as (check one):
| an individual | a corporation | a partnership | a joint venture | |
| Number of Employees __________ | Website: ________________________________________ |
Office Location Street Address: _________________________________________________________________ City, State and Zip Code: _________________________________________________________ Contact Person Name:____________________________________ Title: _______________________________ Email:______________________________________ Telephone # _______________________
SBE CERTIFICATION
Check all that apply and attach applicable copy of certification letter(s) or certificate(s). Certifications must be valid on RFP or other type of submittal due date.
Palm Beach County (PBC) Certified Small Business Enterprise (SBE) State of Florida Certified Minority/Women Business Enterprise (M/WBE)
SCOPE OF SERVICE
Prime’s Scope of Work: __________________________________________________________
(A) ________% of Team: Prime’s Total Project Participation (TPP)
(B) ________% Local: Portion of Prime’s TPP to be performed in PBC office(s)
(C) ________% Non-Local: Portion of Prime’s TPP to be performed outside of PBC office(s) Note: (A) = (B) + (C) [(A) will only equal 100% if there are no subconsultants]
VOLUME OF WORK
List all projects with associated contract and supplement fees awarded by the Palm Beach County Board of County Commissioners in the fiscal years (October 1 to September 30) indicated. Includes any fees awarded as a subconsultant.
| FY Period | Prime’s Fee * | Factor | Fees Considered | |
| (1) Current Fiscal Year: | $__________________ x 1.00 = $________________________ | |||
| (2) Previous Fiscal Year: | $__________________ x 0.75 = $________________________ |
(3) Fiscal Year Once Removed: $__________________ x 0.50 = $________________________
(4) Fiscal Year Twice Removed: $__________________ x 0.25 = $________________________ Total Fees Considered $________________________
* Palm Beach County fees awarded to the consultant, minus fees subcontracted out by consultant to sub-consultant, plus any fees for which the consultant is a sub-consultant.
CERTIFICATION
Prime Consultant Firm: __________________________________________________________ Signature: _____________________________________________________________________ Printed Name: _________________________________________________________________ Title: _________________________________________________________________________ Date: _________________________________________________________________________
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