Qualification Questionnaire Subconsultant.pdf
PDF 287 KB Posted
- Solicitation number
- RFP 360 2026052 2
- Issued by
- Palm Beach County, Florida
About this file
This is a Sub Consultant Qualification Questionnaire form used by Palm Beach County for the Street Lighting Professional Continuing Services Contract in Florida. The form requires subconsultants to provide detailed information about their firm, including business structure, employee count, office location, and contact information. Subconsultants must identify their scope of work, specify the percentage of total project participation, and indicate what portion of work will be performed locally within Palm Beach County offices versus non-locally. The form requires documentation of Small Business Enterprise (SBE) certifications from Palm Beach County or Minority/Women Business Enterprise (M/WBE) certifications from the State of Florida, if applicable.
The questionnaire includes a volume of work section requiring subconsultants to list all projects with associated contract and supplement fees awarded by the Palm Beach County Board of County Commissioners over four fiscal years (October 1 to September 30), with fees weighted by a declining factor ranging from 1.00 for the current fiscal year to 0.25 for the fiscal year twice removed. This calculation method establishes a total fees considered metric that evaluates the subconsultant's recent work history with the county. The form must be completed and certified by an authorized representative of the subconsultant firm, with signature, printed name, title, and date required for submission.
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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 | ||
| Qualification Questionnaire Prime.pdf | ||
| 2026052 Pre Proposal Sign In Sheet.pdf | ||
| RFI Form.docx | DOCX document | |
| Conflict of Interest.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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