QUALIFICATION_SUBMITTAL_FORM.pdf
PDF 130 KB Posted
- Solicitation number
- 23-0653-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
The document is a Qualification Submittal Form for a County Wide Parks and Conservation Resources (PCR) Roof Replacement Contract in Florida. The form requires bidders to provide detailed information about their company's qualifications, including four past projects of similar size and scope, work types they are qualified to perform (such as roofing, building mechanical, and electrical work), and contact information for project owners and managers. Bidders must submit a bonding letter, vendor information form, and at least three reference letters from companies for whom they have completed similar projects.
The form indicates that companies must demonstrate their capability to perform the work by detailing project award amounts, final project totals, design professional estimates, change orders, and scheduled and actual completion dates. Companies must also provide vendor information including firm name, address, and officer/director details. There is a critical qualification requirement that companies check the appropriate work type boxes, with a warning that failure to meet these conditions will result in disqualification from moving forward in the bidding process. The document does not specify exact funding sources or contract value, but requires comprehensive documentation to prove a bidder's competence and reliability for the roof replacement contract.
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Text version
QUALIFICATION SUBMITTAL FORM
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 or a letter of parent guarantee indicating at a minimum the maximum amount of the budget estimate referenced in the Notice Section.
2. Please complete and return the Vendor Information Form.
3. Confirm Project Work Type(s) (outlined below – check appropriate box(es)
4. Provide your experience on Qualification Submittal Forms below outlining projects of a similar size and scope.
5. Provide a minimum of three reference letters from companies that you have performed projects of a similar size and scope.
Work Types your company is qualified to perform - *Check all boxes that apply
Project Work Types
Bascule Bridge Fixed Bridge Roofing
Bridge Repair Marine Well Drilling
Building Mechanical Water and Sanitary Sewer
Electrical Road, Street, Storm Sewer
**If any of the above conditions are not met, your company will be disqualified from moving forward with Step Two.**
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
Name
Address
Telephone Number and Email Address:
Project Award Amount: $
Final Project Total Amount: $
Design Professional/Engineer Estimate:
$ Change Orders $
Company Name: Please include below
Project 3 (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 $
Company Name: Please include below
Project 4 (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 $
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: Title: DOB: SSN:
Notes:
Officer/Director/Member: Title: DOB: SSN:
Notes:
Officer/Director/Member: Title: DOB: SSN:
Notes:
Officer/Director/Member Title: DOB: SSN:
Notes:
Additional Information: (On Vendor or Contract Requirements)
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