Statement of Qualifications.pdf
PDF 103 KB Posted
- Attached to
- Treutlen County CDBG-DR Resiliency Center
- Solicitation number
- PE-77483-NONST-2026-000000009
- Issued by
- Terrell County, Georgia
About this file
This is a Statement of Qualifications template for engineering and architectural firms seeking to provide design, bid phase, and inspection services on Community Development Block Grant (CDBG) projects. The document establishes the information and documentation required from prospective firms to demonstrate their qualifications and capability to perform required services.
The Statement of Qualifications requires firms to provide comprehensive background information including years in business in present form, firm history and resource capability, titles and addresses of all officers, business licenses and registrations, and proof of Errors and Omissions Insurance coverage. Firms must disclose their fee structure for design, bid phase, and inspection services, specify whether they charge for preliminary engineering reports (PER), and confirm their ability to meet PER draft deadlines. The application requires submission of up to five representative projects demonstrating relevant CDBG experience, including project name, location, owner, year, contract amount, and the firm's specific role. Firms must identify key personnel with qualifications and explain their roles in CDBG work, provide three references, and certify responses under oath. Additionally, firms must indicate Section 3 Business Concern status and, if applicable, submit required certifications, previous certifications, and action plans with their proposal. The document serves as a standardized evaluation tool to assess firm qualifications, experience, staffing capabilities, and compliance with CDBG program requirements prior to contract award.
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Text version
Engineering/Architectural Sample Statement of Qualifications
NAME OF FIRM:
ADDRESS:
1. Years in Business in Present Form:
2. Firms History and Resource Capability to Perform Required Services:
3. Titles, Names, and Addresses of all Officers:
4. List categories in which firm is legally qualified to do business. Include Licenses and Registrations where applicable.
5. Does your firm carry Errors and Omissions Insurance?
6. If you were awarded the design, bid phase, and inspection for this project, what would your fee be?
7. Does your firm charge for the preliminary engineering report (PER)?
If yes, what would the charge be? $
Can your firm meet the draft PER deadline? YES NO
8. List up to five (5) projects which demonstrate skills to be used on CDBG projects. Note project name, location, owner, year, contract amount, and nature of firm’s responsibility.
1.
2.
3.
4.
5.
9. List key personnel (with qualifications) likely to be involved on these projects and explain their specific role in CDBG work.
10. List three (3) references for the Firm.
1.
2.
3.
11. Are you a Section 3 Business Concern? Yes No
If yes, the Attached Section 3 Business Concern Certification, Previous Certification and Action
Plan must be filled out, signed, notarized, and submitted with your proposal.
Is the signed and notarized Section 3 Business Concern Certification, Previous Certification and Action Plan attached to your proposal? Yes If no, you will only need to submit the Section 3 forms if you are the successful proposer.
12. Certifying that:
Mr./Mrs./Ms. (signature) being duly sworn deposes and states that he/she is the (title) of (name of firm) and that answers to the foregoing questions and all statements herein contained are true and correct.
File details come from the government source that posted it. Updated .