Qualification Questionnaire Subconsultant.docx
DOCX document 32 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 Sub Consultant Qualification Questionnaire form used by Palm Beach County, Florida for consultant selection on state and local contract opportunities. The form requires subconsultants to provide comprehensive information including firm details, business structure, employee count, office locations, and primary contact information. Subconsultants must identify their scope of work, express their total project participation percentage, and specify the portion of work to be performed locally within Palm Beach County offices versus work performed outside the county.
The questionnaire establishes evaluation criteria based on historical fee volume with Palm Beach County, utilizing a weighted factor system that considers fees awarded in the current fiscal year (multiplied by 1.00), previous fiscal year (0.75 factor), fiscal year once removed (0.50 factor), and fiscal year twice removed (0.25 factor). Subconsultants must report all Palm Beach County Board of County Commissioners contract awards and supplement fees, calculated as fees awarded to the consultant as prime minus fees subcontracted to others, plus any fees for which the consultant serves as a subconsultant. The form requires declaration of Small Business Enterprise (SBE) certifications from Palm Beach County or State of Florida Minority/Women Business Enterprise (M/WBE) status, with valid certifications required on the RFP submission due date. The document must be completed in the prescribed format and signed by an authorized representative of the subconsultant firm with printed name, title, and date of certification.
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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 Prime.docx | DOCX document |
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Text version
SUB 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: _______________________________________________________________ SUB CONSULTANT (Subconsultant) 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
Subconsultant’s Scope of Work: ____________________________________________________
(A) ________% of Team: Subconsultant’s Total Project Participation (TPP)
(B) ________% Local: Portion of Subconsultant’s TPP to be performed in PBC office(s)
(C) ________% Non-Local: Portion of Subconsultant’s TPP to be performed outside of PBC office(s) Note: (A) = (B)+ (C) [(A) will never equal 100%]
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 | Subconsultant’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 as a prime, minus fees subcontracted out by consultant to sub-consultant, plus any fees for which the consultant is a sub-consultant.
CERTIFICATION
Sub Consultant Firm: ____________________________________________________________ Signature: _____________________________________________________________________ Printed Name: _________________________________________________________________ Title: _________________________________________________________________________ Date: _________________________________________________________________________
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