Qualification Questionnaire Prime.pdf
PDF 285 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 issued by Palm Beach County, Florida for use in state and local contracting opportunities, specifically for a CEI Continuing Professional Services engagement. The form requests detailed information from prime consultants including firm name, business structure, employee count, office location, contact information, and scope of work parameters. Consultants must indicate their total project participation percentage, the portion of work to be performed locally within Palm Beach County offices, and the portion to be performed outside the county. The form requires submission of all requested information in the specified format and permits use of additional pages as needed to provide complete responses.
The questionnaire includes a volume of work section that calculates total fees considered for Palm Beach County Board of County Commissioners awards across four fiscal year periods, applying declining weighting factors ranging from 1.00 for the current fiscal year to 0.25 for the fiscal year twice removed. Consultants must list all projects with associated contract and supplement fees, including work performed as subconsultants, and exclude fees subcontracted to other subconsultants. The form requires certification of SBE status through Palm Beach County Certified Small Business Enterprise or State of Florida Certified Minority/Women Business Enterprise designations, with copies of valid certification letters or certificates required at the time of RFP submission. A certification section at the end requires signature, printed name, title, and date from an authorized representative of the prime consultant firm.
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Other files
| File | Type | Posted |
|---|---|---|
| Alternate Format Availability.pdf | ||
| Prime Firms SBE Past Participation Statement.docx | DOCX document | |
| 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 Prime.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]
PRIME CONSULTANT QUALIFICATION QUESTIONNAIRE
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: _________________________________________________________________________
| Untitled |
| PROJECT |
PRIME CONSULTANT (Prime)
SBE CERTIFICATION
SCOPE OF SERVICE
VOLUME OF WORK
CERTIFICATION
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