QUALIFICATION_SUBMITTAL_FORM_new.pdf
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- Solicitation number
- 25-0681-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is a Qualification Submittal Form for a construction contract administered by the Florida Department of Transportation (FDOT). The form is designed for contractors to provide detailed qualification information in two parts (Part A and Part B) to be considered for a bidding opportunity. Contractors must complete either the FDOT Pre-qualified requirements or Non FDOT Pre-qualified requirements section, which includes submitting an OpenGov Fillable-Final form, providing project experience on similar work, FDOT qualification letters, a bonding letter from a surety, and for non-pre-qualified contractors, three reference letters. Failure to meet any of the specified conditions will result in disqualification from proceeding to Step Two of the bidding process.
The qualification forms require extensive documentation about the bidding company, including project history, project details (such as award amounts, completion dates, and change orders), vendor information, and corporate leadership details. For non-pre-qualified contractors, additional information is required, including officer/director details and business structure information. The forms emphasize the need for comprehensive and accurate information to demonstrate the contractor's capability, financial stability, and previous project experience. Contractors must be prepared to provide detailed contact information, project references, and proof of their ability to successfully complete similar construction projects.
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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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