Qualification Questionnaire Subconsultant.pdf
PDF 287 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 Sub Consultant Qualification Questionnaire required by Palm Beach County for subconsultants participating in CEI Continuing Professional Services projects in Florida. The form collects essential information about subconsultant firms, including their business structure, number of employees, office location, and primary contact details. Subconsultants must identify their scope of work, specify their total project participation percentage, and indicate what portion of work will be performed locally within Palm Beach County versus non-locally. The questionnaire also requires documentation of any relevant Small Business Enterprise (SBE) certifications, including Palm Beach County Certified SBE status or State of Florida Certified Minority/Women Business Enterprise (M/WBE) designations.
The Volume of Work section requires subconsultants to report all fees awarded by the Palm Beach County Board of County Commissioners over the preceding four fiscal years (October 1 to September 30), with fees weighted by a declining factor based on recency: current year at 1.00, previous year at 0.75, year once removed at 0.50, and year twice removed at 0.25. Fees reported should reflect those earned as a prime consultant minus any subcontracted amounts, plus fees earned in a subconsultant capacity. The questionnaire must be completed and certified with an authorized signature, printed name, title, and date, and all applicable SBE or M/WBE certification documentation must be attached with certifications valid as of the RFP or submittal due date.
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Other files
| File | Type | Posted |
|---|---|---|
| Qualification Questionnaire Prime.docx | DOCX document | |
| 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 | ||
| Prime Firms SBE Past Participation Statement.docx | DOCX document | |
| Commercial Non-discrimination.docx | DOCX document | |
| 2026053 - CCNA RFP Package - signed.pdf | ||
| Qualification Questionnaire Prime.pdf |
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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
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