QUALIFICATION_SUBMITTAL_FORM_23-1141.pdf
PDF 146 KB Posted
- Attached to
- Dunn Exploratory Well (PID 004365A)
- Solicitation number
- 23-1141-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is a Qualification Submittal Form for a state and local contract opportunity related to the Dunn Exploratory Well project in Florida, applicable to contractors who are not pre-qualified with the Florida Department of Transportation (FDOT). The form requires bidders to provide comprehensive documentation including a bonding letter, OpenGov Fillable-Final form, project experience details, and a minimum of three reference letters from companies where similar projects have been completed. Bidders must document four projects of similar size and scope, detailing project descriptions, owner contact information, project managers, award amounts, final project totals, design estimates, change orders, and scheduled and actual completion dates.
The qualification process involves a background check and review, with strict requirements that must be met to proceed to Step Two of the bidding process. Companies failing to provide complete documentation will be disqualified. The form requires detailed vendor information, including firm name, address, and officer/director details. The associated project aims to provide the County with a reclaimed water disposal option via an injection well at the W.E. Dunn Water Reclamation Facility, with the potential to create an injection well capable of handling up to 12.7 million gallons per day, contingent on favorable hydrogeologic conditions.
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Text version
QUALIFICATION SUBMITTAL FORM
STEP 1
PART A
The invitation to bid for this Project requires that this qualification submittal be included with the proposal and completed in its entirety. There is no FDOT prequalification for this invitation to bid.
PART B
The invitation to bid for this Project requires that this qualification submittal be included with the proposal and completed in its entirety.
A component of the Pre-Qualification of Bidder process is background check and review.
Please provide the following documentation and include with Qualification Submittal Forms by Step One due date referenced in the Notice Section.
1. Provide a bonding letter from surety indicating at a minimum the maximum amount of the budget estimate referenced in the Notice Section.
2. Please complete and return the OpenGov Fillable-Final.
3. Provide your experience on Qualification Submittal Forms below outlining projects of a similar size and scope.
4. Provide a minimum of three reference letters from companies that you have performed projects of a similar size and scope.
**If any of the above conditions are not met, your company will be disqualified from moving forward with Step Two.**
Applicable only for contractors who are not pre-qualified with FDOT. The invitation to bid for this Project requires that this qualification submittal be included with the proposal and completed in its entirety.
NOTE: BIDDER SHALL SUBMIT QUALIFICATION SUBMITTAL ON THE FORM PROVIDED HEREIN
TO PROVIDE THE QUALIFICATION REQUIREMENTS AS SPECIFIED IN
Company Name: Please include below
Project 1 (of similar type) Description
Owner of Project - Contact Information
Name
Address
Telephone Number and Email Address:
Project Manager - Contact Information
Address
Telephone Number and Email Address:
Project Award Amount: $
Final Project Total Amount: $
Design Professional/Engineer Estimate:
$ Change Orders $
Scheduled Completion Date
Actual Completion Date
QUALIFICATION SUBMITTAL FORM (continued)
Project 2 (of similar type) Description
Project Manager - Contact Information
Address
Telephone Number and Email Address:
Project Award Amount: $
Final Project Total Amount: $
Design Professional/Engineer
Project 3 (of similar type) Description
Project Manager- Contact Information
Address
Telephone Number and Email Address:
Project Award Amount: $
Final Project Total Amount: $
Design Professional/Engineer
Project 4 (of similar type) Description
Project Manager- Contact Information
Address
Telephone Number and Email Address:
Project Award Amount: $
Final Project Total Amount: $
Design Professional/Engineer
Applicable only for contractors who are not pre-qualified with FDOT
The invitation to bid for this Project requires that this qualification submittal be included with the proposal and completed in its entirety.
Vendor Information Firm Name:
Street Address:
City:
State:
ZIP:
Additional Info:
Officer/Director Information
Officer/Director/Member:
Title:
DOB:
SSN:
Notes:
Officer/Director/Member
Additional Information: (On Vendor or Contract Requirements)
File details come from the government source that posted it. Updated .