Vendor_Qualification_Form.pdf

Qualification Form

QUALIFICATION FORM

2025-143 LEWISTON AREA KNOTWEED TREATMENT

This Qualification Form must be submitted with your solicitation response. A solicitation response received without this form, or with an outdated version, may be rejected.

The State (or its representative) reserves the right to clarify the required qualification information submitted on this form before an award is made. The solicitation response may be rejected if qualifications are not met.

1. Responding company has completed as a Prime Contractor, the work for at least one written and verifiable contract since August 2020 for herbicidal application treating invasives on more than 50 acres. This contract MUST have had a value of $7,500 or greater.

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Dollar Amount of Contract: Substantial Completion Date:

Contract substantially completed under (check one):

☐ Current Company Name

☐ Previous Company Name

*Property Owner:

Property Owner Contact Person: Contact Person’s Telephone #:

Dollar Amount of Contract: Substantial Completion Date:

Contract substantially completed under (check one):

☐ Current Company Name

☐ Previous Company Name

*The term “Property Owner” means the person or entity identified as the owner of the property where the work referenced for Qualification Requirement #1 was performed.

The State (or its representative) reserves the right to contact the references listed above for Qualification Requirement #1 or to request the Responder to provide additional reference projects for review. The solicitation response will be rejected if the State, in its sole discretion, receives information that indicates the responder is non-responsible. Information considered includes but is not limited to: 1) project milestones (meeting substantial and final completion dates); 2) communication with project owner and subcontractors; 3) on-site supervision; 4) coordination of subcontractors; 5) violation of Minnesota prevailing wage law; and 6) nonpayment of subcontractors.

2. Contractor has 2 years of experience in broadcast forest herbicide application - Yes _____ No _____

3. Contractor has at least 1 year of experience in herbicide application using ground equipment - Yes _____ No _____

4. Has your Company been found in default or had a contract terminated for cause in the last 36 months?

It is required that your company has not had this occur.

NOTE: If this question is answered as “yes”, your solicitation response will be rejected.

☐YES ☐NO

5. The ability to use georeferenced .pdf maps with Avenza or similar app on a mobile device - Yes _____ No _____

6. The ability to download waypoints of known knotweed locations in shapefile or KML format on a mobile device -

Yes _____ No _____

7. Bidder must supply an email address that can be used to accept maps - Yes _____ No _____

Qualification Form

Certification

By signing this form, I certify the information provided is complete and accurate.

Authorized Signature: Date:

Printed Name: Telephone:

Company Name: Title: