QUALIFICATION_SUBMITTAL_FORM_NON_FDOT.pdf
PDF 176 KB Posted
- Attached to
- STAR Center Chiller 2 Replacement
- Solicitation number
- 23-1128-ITB-C
- Issued by
- Pinellas County, Florida
About this file
The document is a Qualification Submittal Form for a non-FDOT (Florida Department of Transportation) procurement process, specifically for the STAR Center Chiller 2 Replacement project. The form requires bidding companies to provide comprehensive details about their qualifications, including project experience, work types, and company information. Bidders must submit a bonding letter, complete an OpenGov form, confirm project work types, provide details on four similar past projects, and include three reference letters. The form outlines specific requirements such as documenting project award amounts, completion dates, change orders, and design professional estimates.
The qualification submittal process includes a detailed vendor information section where companies must provide their firm name, address, and officer/director details. Bidders are required to demonstrate expertise across various project work types including bascule bridge, bridge repair, building, electrical, fixed bridge, marine, mechanical, roofing, water and sanitary sewer, well drilling, and road/street/storm sewer work. The form emphasizes that failure to meet any of the specified conditions will result in disqualification from moving forward in the bidding process. The document is designed to comprehensively assess a bidder's capabilities, financial stability, and prior project experience before allowing them to proceed to the next stage of the procurement.
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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 OpenGov Fillable-Final.
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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