Qualification Questionnaire Subconsultant.pdf
PDF 287 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 for state and local contract opportunities in Florida. The document serves as a standardized submission format requiring subconsultants to provide detailed information about their firm, qualifications, and project participation when responding to requests for proposals or other solicitations.
The form requires subconsultants to identify the project name and prime consultant, provide firm details including business structure and employee count, and list office locations with primary contact information. Subconsultants must disclose relevant certifications, including Palm Beach County Certified Small Business Enterprise (SBE) status or State of Florida Certified Minority/Women Business Enterprise (M/WBE) status, supported by valid certification documentation. The scope of service section requires identification of the subconsultant's work scope and quantification of total project participation, including the percentage of work to be performed locally within Palm Beach County offices versus non-local work outside the county.
The volume of work section requires submission of all projects awarded by the Palm Beach County Board of County Commissioners during four fiscal year periods (October 1 to September 30), with fees weighted by a declining factor based on recency. Current fiscal year fees are multiplied by 1.00, previous fiscal year by 0.75, fiscal year once removed by 0.50, and fiscal year twice removed by 0.25. The calculation accounts for fees awarded as prime consultant minus subcontracted fees, plus any fees earned as a subconsultant. All submissions require certification by an authorized representative of the subconsultant firm with signature, printed name, title, and date.
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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 | |
| 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
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%]
SUB 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 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: _________________________________________________________________________
| Untitled |
| PROJECT |
SUB CONSULTANT (Subconsultant)
SBE CERTIFICATION
SCOPE OF SERVICE
VOLUME OF WORK
CERTIFICATION
File details come from the government source that posted it. Updated .