QUALIFICATION_SUBMITTAL_FORM_Non_FDOT.pdf
PDF 289 KB Posted
- Attached to
- STAR Center AHU -104, -161, -162 Replacement
- Solicitation number
- 26-0306-ITB-C
- Issued by
- Pinellas County, Clewiston City, Florida
About this file
This is a Qualification Submittal Form for non-FDOT prequalified contractors bidding on Pinellas County's STAR Center AHU Replacement project (ITB-C #26-0306) in Largo, Florida. The form establishes mandatory Step 1 qualification requirements that must be completed and submitted by March 10, 2026 at 3:00 PM to remain eligible for Step 2 bid submission on March 26, 2026 at 3:00 PM. Bidders must attend a mandatory pre-bid conference and site visit on March 4, 2026 at 10:00 AM, followed by a mandatory Microsoft Teams conference on March 10, 2026 at 3:30 PM. The project requires full replacement of three chilled water air handling units with new Direct Digital Controls utilizing Niagara4 supervisory software, with work commencing within 15 calendar days of Notice to Proceed and completion within 365 calendar days, limited to regular business hours Monday through Friday (7:00 AM to 7:00 PM) except for scheduled weekend roof-mounted equipment operations between Friday 5:00 PM and Monday 7:00 AM.
Contractors must submit a bonding letter indicating maximum bonding capacity, complete the OpenGov Fillable-Final form, provide detailed experience documentation on four projects of similar size and scope including project descriptions, owner and project manager contact information, award amounts, final project totals, design professional estimates, change orders, and scheduled versus actual completion dates, and furnish a minimum of three reference letters from companies for which they have performed similar work. Failure to provide any of these conditions results in automatic disqualification. Additional requirements include submission of vendor information, officer/director details with dates of birth, and bid officer certifications for corporations, partnerships, or sole proprietorships, along with proof of contractor registration or certification from the State of Florida. A 5 percent bid bond must accompany the proposal, with performance and payment bonds each equal to 100 percent of the agreement amount required upon award. The county has established a 3 percent Small Business Enterprise participation goal, and contractors must comply with St. Petersburg-Clearwater International Airport security requirements, E-Verify registration, human trafficking affidavits, and foreign country of concern certifications, with comprehensive insurance coverage including $1,000,000 Commercial General Liability per occurrence.
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Text version
QUALIFICATION SUBMITTAL FORM
STEP 1
PART A
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 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.**
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 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: Title: DOB:
Notes:
Officer/Director/Member: Title: DOB:
Notes:
Officer/Director/Member: Title: DOB:
Notes:
Officer/Director/Member Title: DOB:
Notes:
Additional Information: (On Vendor or Contract Requirements)
QUALIFICATION FORMS – BID SUMMARY
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:
Printed Name
TREASURER ADDRESS:
Printed Name
QUALIFICATION FORMS – BID SUMMARY
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:
Printed Name
Name ADDRESS:
Printed Name
Name ADDRESS:
Printed Name
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
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