Qualification Questionnaire Prime.pdf
PDF 285 KB Posted
- Solicitation number
- RFP 360 2026052 2
- Issued by
- Palm Beach County, Florida
About this file
This is a Qualification Questionnaire document for a Street Lighting Professional Continuing Services Contract in Florida. The questionnaire is designed to evaluate the qualifications of prime contractors interested in providing street lighting professional services on a continuing basis. The document requests detailed information about contractor experience, capabilities, personnel qualifications, financial stability, and past performance on similar projects. Bidders must demonstrate competency in street lighting design, installation, maintenance, and repair services. The questionnaire serves as a preliminary evaluation tool to determine contractor eligibility before formal bid submission, with responses used to assess technical capability, organizational capacity, and compliance with contract requirements.
The questionnaire does not specify pricing terms, contract duration, renewal options, set-asides, or specific response deadlines within this document alone. Additional contract details regarding compensation structure, contract term, performance requirements, and bid submission dates would be contained in the related solicitation documents and contract opportunity materials. Contractors must consult the complete solicitation package, including the Scope of Work and any addenda, for comprehensive information on pricing, payment terms, incumbent status, funding sources, and other material contract conditions.
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Other files
| File | Type | Posted |
|---|---|---|
| 2026052 RFP Package.pdf | ||
| OSBD Schedules and Instructions.pdf | ||
| Prime Firms SBE Past Participation Statement.pdf | ||
| RFI Form.pdf | ||
| 2026052 Pre Proposal Sign In Sheet.pdf | ||
| RFI Form.docx | DOCX document | |
| Conflict of Interest.pdf | ||
| Qualification Questionnaire Subconsultant.pdf |
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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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