Qualification Questionnaire Prime.pdf
PDF 285 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 form issued by Palm Beach County for the Construction Engineering Inspection (CEI) Continuing Professional Services procurement (Project Number 2026053). Proposals are due September 1, 2026 at 4:00 p.m., with a non-mandatory pre-proposal meeting scheduled for August 13, 2026 at 3:30 p.m. The County seeks to retain two certified professional firms on a Consultant Service Authorization (CSA) basis to provide inspections, documentation of construction activities, progress meetings, stakeholder coordination, FDOT Local Agency Program approval coordination, bidding assistance, and constructability reviews for roadway construction projects. Proposers must be FDOT Prequalified in Category 10.1 (Roadway Construction Engineering Inspection) and registered in the County's Vendor Self Service system. The contract term is thirty-six months from the date of County approval, with the shortlist committee meeting tentatively scheduled for October 22, 2026 and the final selection committee meeting on November 18, 2026.
The questionnaire requires firms to provide detailed information on firm structure, office locations, scope of work allocation, and volume of work history with Palm Beach County during the current and three prior fiscal years (October 1 to September 30), with fees weighted by a declining factor based on fiscal year recency. A mandatory 15% minimum Small Business Enterprise (SBE) participation requirement and SBE evaluation preference apply to all proposals. Compensation is determined through negotiated personnel rates and draft fees submitted within two weeks of the selection committee meeting, with complete negotiations expected within two months of selection. A contract multiplier will be applied to salary costs for principals and employees, plus reimbursable expenses. Selected consultants must maintain Commercial General Liability insurance at $500,000 combined single limit and Professional Liability insurance at $1,000,000 per occurrence/$2,000,000 aggregate. Project funding for each individual CSA is to be determined.
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Other files
| File | Type | Posted |
|---|---|---|
| Prime Firms SBE Past Participation Statement.docx | DOCX document | |
| Commercial Non-discrimination.docx | DOCX document | |
| 2026053 - CCNA RFP Package - signed.pdf | ||
| Qualification Questionnaire Subconsultant.pdf | ||
| Prime Firms SBE Past Participation Statement.pdf | ||
| 2026053 Pre Proposal Sign In Sheet.pdf | ||
| Disclosure of Ownership Interests.docx | DOCX document | |
| RFI Form.pdf | ||
| Conflict of Interest.docx | DOCX document | |
| Conflict of Interest.pdf | ||
| RFI Form.docx | DOCX document | |
| OSBD Schedules and Instructions.pdf | ||
| Alternate Format Availability.pdf | ||
| Qualification Questionnaire Subconsultant.docx | DOCX document | |
| Commercial Non-discrimination.pdf | ||
| Instructions for Completing a CCNA RFP.pdf | ||
| Qualification Questionnaire Prime.docx | DOCX document |
Show all 17
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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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