Qualification Questionnaire Prime.docx

DOCX document 31 KB Posted

Attached to
CEI Continuing Professional Services
Solicitation number
RFP 360 2026053 2
Issued by
Palm Beach County, Florida

About this file

This is a Prime Consultant Qualification Questionnaire for Palm Beach County, Florida, designed for consultants seeking to qualify as prime consultants on the CEI Continuing Professional Services contract opportunity. The questionnaire requires detailed submission of firm information including legal structure, employee count, office location, and primary contact details. Consultants must declare their scope of work and total project participation percentage, along with designations for work performed locally within Palm Beach County offices versus work performed outside the county. The form requests submission in the specified format only, with space for multiple pages of supporting information as needed.

The questionnaire includes a volume of work section requiring consultants to list all projects awarded by the Palm Beach County Board of County Commissioners across four fiscal year periods (October 1 to September 30), applying weighted factors to calculate total fees considered—current fiscal year at 1.00 factor, previous year at 0.75, year once removed at 0.50, and year twice removed at 0.25. Consultants must also indicate relevant certifications including Palm Beach County Certified Small Business Enterprise (SBE) status or State of Florida Certified Minority/Women Business Enterprise (M/WBE) status if applicable, with required attachment of valid certification documentation. The form requires certification signature, printed name, title, and date from an authorized representative of the prime consultant firm.

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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 individuala corporationa partnershipa 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 PeriodPrime’s Fee *FactorFees 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: _________________________________________________________________________

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