Qualifications and Experience Package Form.docx

QUALIFICATIONS AND EXPERIENCE PACKAGE FORM

Items # 1 - 4 are Mandatory:

1. Qualifications and Experience Form – Bidder shall use the included Form to provide information of similar projects completed by the Bidder or by a Key Staff member of the Bidder’s firm who will have an active role in the Work in the last 5 years. At least one of the two projects must have been completed under the Bidder’s firm name. Only one of the two projects may be experience from a previous employer. Bidder may have been either the prime contractor or a subcontractor for the projects listed, however, only the portion of the project completed by the Bidder should be included in the description on this form.

1. Resumes of Key Staff – attach resumes of Key Staff who will work on this Contract (superintendent or above) showing their construction experience.

1. Equipment – attach a schedule of (owned) equipment and/or letters from equipment rental company with a line item list of equipment rented to Bidder showing the availability of equipment that will be needed to complete the Work.

1. Qualifications and Experience Certification Statement – Signed certification at the end of this form.

If requested by the Department per General Provision 2-1.5, the Bidder shall provide items # 5 – 12 within the deadline set forth in 2-1.5.

1. FDOT Certification of Current Capacity and Status of Contracts on Hand (FDOT Form 525-010-46)

1. Detailed information of financial resources of the Bidder

1. A list stating the types of work in which the Bidder can provide backup to show experience, expertise, and competence.

1. The aggregate amount of work the Bidder currently has under contract

1. Licensure information of the Bidder and personnel

1. Letters of certification of final acceptance

1. Letters of recommendation

1. Any other pertinent information to assist in this qualification review

Similar Project Experience - Project #1

Name of Project: _______________________________________________________________ Location of Project: _____________________________________________________________ Total Construction Cost: $________________________________________________________

Owner of Project Firm/Entity: ___________________________________________________________________ Contact Person: ________________________________________________________________ Phone Number: ________________________________________________________________ Email Address: ________________________________________________________________

Contract Information Contract Parties: Contract was between _____________________ and _____________________ (use official firm/entity names as shown on the Contract) Contract # and/or Project #: _______________________________________________________ Contract Start Date: ___________________ Contract Completion Date: ________________ Bidder Status on Project: Prime Contractor / Subcontractor / Key Staff experience (circle one) from previous employer Name of Client: (either Prime or Project Owner) __________________________________________ Client Contact Person: ___________________________________________________________ Client Phone Number: ___________________________________________________________ Client Email Address: ___________________________________________________________ Contract Amount Paid to Bidder’s Firm: $__________________________ (will not be full contract amount unless Bidder performed 100% of the work with its own forces)

Description of work completed by Bidder (or Key Staff member): ________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Similar Project Experience - Project #2

Name of Project: _______________________________________________________________ Location of Project: _____________________________________________________________ Total Construction Cost of Project: $________________________________________________

Owner of Project Firm/Entity: ___________________________________________________________________ Contact Person: ________________________________________________________________ Phone Number: ________________________________________________________________ Email Address: ________________________________________________________________

Contract Information Contract Parties: Contract was between _____________________ and _____________________ (use official firm/entity names as shown on the Contract) Contract # and/or Project #: _______________________________________________________ Contract Start Date: ___________________ Contract Completion Date: ________________ Bidder Status on Project: Prime Contractor / Subcontractor / Key Staff experience (circle one) from previous employer Name of Client: (either Prime or Project Owner) __________________________________________ Client Contact Person: ___________________________________________________________ Client Phone Number: ___________________________________________________________ Client Email Address: ___________________________________________________________ Contract Amount Paid to Bidder’s Firm: $__________________________ (will not be full contract amount unless Bidder performed 100% of the work with its own forces)

Description of work completed by Bidder (or Key Staff member): ________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Qualifications and Experience Certification Statement The undersigned hereby certifies that all information on and attached to this Qualifications and Experience Form is true and correct. Further, it is hereby acknowledged that any misrepresentation by the Bidder herein may result in the Bidder being disqualified.

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