RFP_PR9120__Attachment_C_Bidders_Qualifications_Fill-in_Form.xlsx
XLSX spreadsheet 14 KB Posted
- Attached to
- Anhydrous Ammonia Supply and Pump out Services
- Solicitation number
- PR9120
- Issued by
- Florida
About this file
This is a Bidders Qualifications Fill-in Form (Attachment C) for RFP PR9120 issued by OUC (Orlando Utilities Commission) in Florida for Anhydrous Ammonia Supply and Pump out Services. The RFP seeks qualified companies to provide anhydrous ammonia delivery and unloading into designated OUC storage tanks, with the scope also including periodic onsite pump out services. Bidders must demonstrate their qualifications through comprehensive documentation including firm information, insurance certificates, transportation capabilities, annual revenue history for 2022-2025, and detailed service descriptions. The form requires submission of at least three customer references for similar-scope projects, with OUC reserving the right to conduct site visits to validate bidder capabilities and customer satisfaction.
Qualified bidders must meet specific operational and safety requirements, including proof of proper insurance coverage in accordance with OUC's minimum requirements, owned and operated fleet information with direct-hire licensed drivers, or contracted freight carrier relationships. Bidders must provide detailed organizational charts, staff resumes, and certifications specific to ammonia transportation and delivery services. The form requires comprehensive documentation of health and safety programs, Workers' Compensation Experience Modification ratings for the past three years, and OSHA safety data (incidence, frequency, and severity rates) for the same period. Additionally, bidders must confirm implementation of employee and vehicle safety programs encompassing hazardous material response training, driver safety training, incident investigation procedures, and equipment inspection protocols. All bidders must document pre-employment criminal background checks, Workers' Compensation history reviews, driver license verification, and pre-employment physical examinations, along with any training and support services offered to customers for ammonia supply and delivery.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP_PR9120__Attachment_B_Price_Schedule.xlsx | XLSX spreadsheet | |
| RFP_PR9120__Attachment_B_Price_Schedule.xlsx | XLSX spreadsheet | |
| ISSUED_RFP_PR9120_Anhydrous_Ammonia_Supply_and_Pump_out_Services.pdf | ||
| ISSUED_RFP_PR9120_Anhydrous_Ammonia_Supply_and_Pump_out_Services.pdf | ||
| RFP_PR9120__Attachment_C_Bidders_Qualifications_Fill-in_Form.xlsx | XLSX spreadsheet |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Table 1
| RFP PR9120 Attachment C Qualifications Fill In Form | |
| Bidder Information (RFP Page 7 section 2.2.1) | |
| Firm Name | |
| Name of Parent Company if applicable | |
| Complete Business Address | |
| State of Incorporation | |
| Number of years in business | |
| Name(s) and contact information of key personnel | |
| Dun & Bradstreet number | |
| Licenses obtained to conduct business with OUC | |
| Contact: | |
| Name | |
| Title | |
| Email Address | |
| Office Phone Number | |
| Mobile Phone Number | |
| Potential Bidders shall be properly insured in accordance with the Minimum specified OUC insurance requirements. Provide a sample copy of your firms insurance certificates. | |
| Does Supplier own and operate its own trucks with direct hired drivers for this product? | |
| If yes specify the number of trucks that may be used to support any deliveries under a contract resulting from this RFP. | |
| Number of direct hired trained licensed drivers that may be used to support any deliveries under a contract resulting from this RFP. | |
| Does Supplier use contract freight carrier for delivery of the specified products in this RFP? | |
| If so provide names of the freight companies currently under contract with your firm specifcally qualifed to transport the Ammonia products in this RFP and indicate for how long for each firm has performed this service for yoru firm. | |
| Firms annual dollar volume for the last four years specific to the division of the firm to provide the services requested 2022 through 2025 | 2025: |
| 2024: | |
| 2023: | |
| 2022: | |
| Provide a narrative describing your firm’s capabilities in regards to the scope of work/services being requested in the RFP. Include the overall approach and specific methodology to provide the specified services. | |
| Location of the local service office. | |
| List of all points of origin this product may ship from in support of a contract resulting from this RFP. | |
| Provide at least three (3) references with contact information related to completed projects with the similar scope and size project. If deemed pertinent, OUC will request to do site visits to customers provided as references by selected Bidder or Bidder’s affiliates.(RFP Page 7 section 2.2.2) | |
| Ref # 1 | |
| Company Name | |
| Contact Information (Name, title, phone number, and e-mail address). | |
| Description of Product/Service provided | |
| Annual Volume delivered | |
| List the scope of services provided in detail | |
| Dates of contract term | |
| Ref # 2 | |
| Company Name | |
| Contact Information (Name, title, phone number, and e-mail address). | |
| Description of Product/Service provided | |
| Annual Volume delivered | |
| List the scope of services provided in detail | |
| Dates of contract term | |
| Ref # 3 | |
| Company Name | |
| Contact Information (Name, title, phone number, and e-mail address). | |
| Description of Product/Service provided | |
| Annual Volume delivered | |
| List the scope of services provided in detail | |
| Dates of contract term |
| Provide a brief description of current technical and management capabilities and availability to perform the work. |
| For staff who would be assigned to the contract, provide the following: |
| A detailed organization chart depicting their management, operations, maintenance, and administrative support structure. |
| Resumes for transportation/delivery personnel |
| List all certifications specific to the types of services being requested. |
| Provide the following procedures used by your firm (all documentation |
requested must pertain to scope of work/services and equipment similar to those described in the RFP)
| Provided a copy of your firm’s Health & Safety Manual. (Yes or No) | |
| Firms Workman's Comp Exp Mod rating last 3 yrs. | 2025: |
| 2024: | |
| 2023: | |
| Indicate your firm’s OSHA Safety Data. Data should apply to the division of the firm providing the service: | |
| OSHA Incidence Rate for the last 3 years | 2025: |
| 2024: | |
| 2023: | |
| OSHA Frequency Rate for the last 3 years | 2025: |
| 2024: | |
| 2023: | |
| OSHA Severity Rate for the last 3 years | 2025: |
| 2024: | |
| 2023: | |
| Does your firm have a comprehensive employee and vehicle safety program that includes hazardous material response training, ongoing driver safety training, formal incident investigation with root cause analysis, and equipment and vehicle inspection? | |
| If Yes, please provide a summary of these programs or otherwise specify the specific sections of your firms Health and Saftey Manual this is covered by. | |
| Please indicate below if your firm conducts the following screening and testing. | |
| Pre-Employment Criminal Background Checks? (Yes or No) | |
| Workers Compensation History Review? (Yes or No) | |
| Driver License Verification (Yes or No) | |
| Pre-employment Physical Exam (Yes or No) | |
| Describe any training and or other support services your firm provides/offers to its customers for Ammonia Supply and Delivery. | |
| Provide any additional information you feel will assist OUC in determining your firm’s qualifications. You may include any related services your company could provide. |
File details come from the government source that posted it. Updated .