QUALIFICATION_SUBMITTAL_FORM_23-1177.pdf
PDF 193 KB Posted
- Attached to
- Grand Canal Maintenance Dredging Project - ARPA Funded State and local contract opportunity
- Solicitation number
- 23-1177-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The Qualification Submittal Form is a document for the Grand Canal Maintenance Dredging Project issued by the Florida Department of Transportation (FDOT), designed for contractors to demonstrate their qualifications for the project. The form requires non-pre-qualified contractors to provide detailed information about their company, including four past projects of similar type and scope, with specifics on project descriptions, owners, project managers, award amounts, final project totals, design estimates, change orders, and completion dates. Contractors must also submit a bonding letter from a surety, complete an OpenGov Fillable-Final form, and include at least three reference letters from companies for whom they have completed similar projects.
The qualification process is structured in two parts: Part A for pre-qualified FDOT contractors and Part B for those not currently pre-qualified. Contractors who do not meet all submission requirements will be disqualified from moving forward to Step Two of the bidding process. The form also requires vendors to provide comprehensive company information, including firm details, street address, and officer/director information. The project is funded through ARPA (American Rescue Plan Act) and involves maintenance dredging of the Grand Canal, with the channel to be maintained at -11.5 ft NAVD with a 1 ft over-dredge allowance, covering 15.5 acres and involving approximately 13,000 cubic yards of dredge material to be placed on Pass-a-Grille beach.
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Text version
QUALIFICATION SUBMITTAL FORM
STEP 1
PART A
If you are currently a pre-qualified construction contractor with FDOT in the applicable work type found in the Special Conditions Section, please check box and fill out OpenGov Fillable-Final and return with signed PART A and provide a bonding letter from surety indicating at a minimum the maximum amount of the budget estimate referenced in the Notice Section.
I am Pre-qualified with FDOT in one or more of the work class(s) as referenced in the Special Conditions Section.
Signature by Contractor for PART A Only: __________________________________________________
Please print name and email address: _____________________________________________________
If you are not pre-qualified with FDOT, please complete PART B and include all Qualification Forms.
PART B
Applicable only for contractors who are not pre-qualified with FDOT in in one or more of the work class(s) as referenced in the Special Conditions Section.
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. If you are not currently pre-qualified with FDOT 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
Name
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)
Company Name: Please include below
Project 2 (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 $
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 .