QUALIFICATION_SUBMITTAL_FORM_NON_FDOT.pdf
PDF 176 KB Posted
- Attached to
- STAR Center Chiller 2 Replacement STEP 2
- Solicitation number
- 23-1128-ITB-C STEP 2
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This document is a Qualification Submittal Form for a project bidding process that does not involve FDOT prequalification. The form requires bidders to provide comprehensive details about their company's qualifications, including work types, project experience, and organizational information. Bidders must submit documentation such as a bonding letter, OpenGov Fillable-Final form, confirmation of project work types, details on four similar past projects, and a minimum of three reference letters. The form allows companies to indicate their capabilities across various work types including bascule bridge, fixed bridge, roofing, bridge repair, marine work, building mechanical, water and sanitary sewer, electrical, and road/street/storm sewer projects.
The qualification submittal requires extensive company and project information, including vendor details, officer/director information, and project-specific data such as project descriptions, owner and project manager contact information, project award and final amounts, design professional estimates, change orders, and scheduled and actual completion dates. Bidders must demonstrate their experience and capability by providing detailed information about past projects of similar size and scope. The form includes a critical warning that failure to meet any of the specified conditions will result in disqualification from moving forward to Step Two of the bidding process, emphasizing the rigorous nature of the qualification requirements.
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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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