QUALIFICATION_SUBMITTAL_FORM_.pdf
PDF 138 KB Posted
- Attached to
- FY 2026 Pavement Preservation Package 2
- Solicitation number
- 25-0071-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is a Qualification Submittal Form for the FY 2026 Pavement Preservation Package 2 project in Pinellas County, Florida. The form is designed for contractors to demonstrate their qualifications and eligibility to bid on the project, which involves milling and resurfacing approximately 44.26 lane miles of roadway across five local neighborhood locations. The qualification process is divided into two steps, with contractors required to submit documentation proving their capability to undertake the project. For FDOT pre-qualified contractors, the requirements include completing an OpenGov Fillable-Final form, providing project experience, submitting FDOT qualification letters, and presenting a bonding letter. Non-FDOT pre-qualified contractors must meet additional requirements, including providing three reference letters from companies where similar projects have been completed.
The qualification submittal requires detailed information about the bidding company, including vendor information, officer/director details, and corporate structure. Contractors must provide evidence of their financial capacity through a bonding letter indicating their maximum bonding amount. The form emphasizes that failure to meet any of the specified conditions will result in disqualification from moving forward to Step Two of the bidding process. Contractors must demonstrate their ability to execute the agreement within 10 calendar days of award and bear the full cost of maintaining all work until final acceptance. The documentation also requires information about the company's registration, certification, and qualification to do business in the State of Florida, ensuring a comprehensive vetting process for potential contractors.
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Text version
QUALIFICATION FORMS – BID SUMMARY
QUALIFICATION SUBMITTAL FORM (PART A)
STEP 1
FDOT Pre-qualified requirements
If you are currently a pre-qualified construction contractor with FDOT in all the applicable work class, in the Special Conditions Section, please fill out/provide:
1. Please complete and return the OpenGov Fillable-Final.
2. Provide your experience on Qualification Submittal Forms (Part B) outlining projects of a similar size and scope.
3. FDOT qualification letter/forms
4. A bonding letter from surety indicating the maximum amount your company can bond for.
Non FDOT Pre-qualified requirements
If you are not pre-qualified with FDOT in all the applicable work class, in the Special Conditions Section, please fill out/provide:
1. Please complete and return the OpenGov Fillable-Final.
2. Provide your experience on Qualification Submittal Forms (Part B) outlining projects of a similar size and scope.
3. FDOT qualification letter/forms (if applicable)
4. A bonding letter from surety indicating the maximum amount your company can bond for.
5. 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. **
QUALIFICATION SUBMITTAL FORM (PART B)
Applicable for all contractors. The invitation to bid for this Project requires that this qualification submittal be included with the bid 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:
Notes:
Officer/Director/Member
Additional Information: (On Vendor or Contract Requirements)
BID SUBMITTAL OFFICERS FORM
Each Bid by an individual or firm shall state the name and address of each person who owns an interest therein, and, if any corporation, the name and addresses of its officers, or if an LLC, the name and address of its members. Bids shall be signed by the person or member of the firm making the same, and if a corporation, by an authorized officer or agent, subscribing the name of the corporation, together with his own name and the corporate seal.
The Bidder further agrees to execute the Agreement within 10 calendar days after receipt of notice of award, and within the time frame of the Agreement.
The Bidder further agrees to bear the full cost of maintaining all Work until the final acceptance.
Accompanying the Bid is a Bid Guarantee, meeting the requirements described in the Instruction to Bidders.
The Contractor’s address and principal place of business is:
If Contractor is a Corporation, list the names, titles and business addresses of its President, Secretary and Treasurer.
PRESIDENT ADDRESS:
Printed Name
SECRETARY ADDRESS:
TREASURER ADDRESS:
QUALIFICATION SUBMITTAL FORM
Said Corporation is qualified to do business in the State of Florida.
By Corporation Name President
***CORPORATE SEAL***
Qualifying Agent
Contractor's Registration or Certificate No.
issued by the State of Florida
If Contractor is not a corporation, list the name(s) and business address(es) of its owner(s), joint venturers or partners:
Name ADDRESS:
The said company or business entity is a sole proprietorship, partnership, or joint venture and is trading and doing business as
By:
Name of Firm or Qualifying Agent
Contractor’s Registration or Certification No. issued by
| PRESIDENT ADDRESS: |
| SECRETARY ADDRESS: |
| TREASURER ADDRESS: |
| Name ADDRESS: |
| Name ADDRESS: |
| Name ADDRESS: |
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