HomeMy WebLinkAboutproposer's statementProposers Qualification Statement
INSTRUCTIONS:
This questionnaire is to be included with your proposal. Do not leave any questions unanswered. When the
question does not apply, write the word(s) "None", or "Not Applicable", as appropriate. Please print.
COMPANY NAME:
COMPANY OFFICERS:
President Vice President
Secretary Treasurer
COMPANY OWNERSHIP:
LICENSES:
% of ownership
% of ownership
% of ownership
% of ownership
1. County or Municipal Occupational License No.
(attach copy with bid)
2. Occupational License Classification
3. Occupational License Expiration Date:
4, Metro -Dade County Certificate of Competency No.
(attached copy if requested in Bid or RFP)
5. Social Security or Federal I.D. No.
EXPERIENCE:
6. Number of Years your organization has been in business:
7. Number of Years experience BIDDER/PROPOSER (person, principal of firm, owner) has had in operation of
the type required by the specifications of the Bid or RFP:
8. Number of Years experience BIDDER/PROPOSER (firm, corporation, proprietorship) has had in operation
of the type required by the specifications of the Bid or RFP:
City of Miami, Florida RFQ #02-03-163
Proposers Qualification Statement (Page 2 of 2)
9. Experience Record: List references who may be contacted to ascertain information on past and/or present
contracts, work, jobs, that BIDDER/PROPOSER has performed of a type similar to that required by
specifications of the City's Bid or RFP with whom you have done business with in the past three (3) years:
FIRM NAME/ADDRESS
DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
FIRM NAME/ADDRESS
DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
FIRM NAME/ADDRESS
DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
FIRM NAME/ADDRESS
DATE OF JOB DESCRIPTION OF JOB
CONTACT PERSON: PHONE NO.:
FAILURE TO FULLY COMPLETE, AND RETURN THIS FORM MAY DISOUALIFY YOUR PROPOSAL,