QUALIFICATION_SUBMITTAL_FORM_Non_FDOT.pdf
PDF 136 KB Posted
- Attached to
- Pump Station 182 Rehabilitation (PID 005221A)
- Solicitation number
- 25-0422-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Qualification Submittal Form for a state or local contract bidding process requiring pre-qualification of bidders through a two-step process. Step One of the pre-qualification process mandates that bidders submit four critical components with their qualification forms by the Step One due date: a bonding letter from their surety indicating maximum bonding capacity, completion of an OpenGov Fillable-Final form, detailed experience information on projects of similar size and scope using the provided qualification forms, and a minimum of three reference letters from companies for whom they have performed similar projects. The form provides templates for documenting up to four similar projects, requiring comprehensive details including project descriptions, owner and project manager contact information, project award amounts, final project totals, design professional estimates, change order amounts, and scheduled versus actual completion dates. Failure to meet any of these Step One requirements results in automatic disqualification from advancing to Step Two of the bidding process.
The qualification forms include sections for both general contractors and those not pre-qualified with the Florida Department of Transportation (FDOT), indicating this is likely a Florida-based project. The documentation requires detailed vendor information including firm addresses and officer/director information with dates of birth for background check purposes. For corporations, the forms mandate disclosure of President, Secretary, and Treasurer information with business addresses, while non-corporate entities must list all owners, joint venturers, or partners. The forms emphasize that contractors must be qualified to do business in the State of Florida and include spaces for contractor registration or certification numbers issued by the state, along with qualifying agent information and corporate seal requirements where applicable.
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Text version
QUALIFICATION FORMS – BID SUMMARY
QUALIFICATION SUBMITTAL FORM
STEP 1
The invitation to bid for this Project requires that this qualification submittal be included with the bid 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 indicating the maximum amount your company can bond for.
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.**
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:
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
Company Name
By:
Name of Firm or Qualifying Agent
Contractor’s Registration or Certification No. issued by the State of Florida
| PRESIDENT ADDRESS: |
| SECRETARY ADDRESS: |
| TREASURER ADDRESS: |
| Name ADDRESS: |
| Name ADDRESS: |
| Name ADDRESS: |
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