HomeMy WebLinkAboutQualification Statement 24.3. Qualification Statement (Page 1 of 2)
INSTRUCTIONS:'
This questionnaire is to be included with your bid. 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:. ' :ROYAL RENT A CAR SXISTEMS OF FLORIDA, INC .
COMPANY. OFFICERS:
President ISMAEL PERERA
Secretary ISMAEL PERERA •
COMPANY OWNERSHIP:
ISMAEL PERERA
Vice President MANUEL RODRIGUE Z
Treasurer ISMAET, PERERA
LICENSES:
10 0 % of ownership
% of ownership
% of ownership
% of ownership
1. County or Municipal Occupational License No. 5 8 8 9 21— 8
(attach copy with bid)
2. Occupational License Classification 213 CHARTER/LEASING SERVICE
3. Occupational License Expiration Date: SEPT . 3 0 , 2 0 0 6
4. Metro -Dade County Certificate of Competency No.
(attached copy if requested in Bid or RFP)
5. Social Security or Federal I.D. No. 5 9 — 2 3 3 4 8 7 3
EXPERIENCE:
6. Number of Years your organization has been in business: 2 2
7. Number of Years experience BIDDERJPROPOSER (person, principal of firm, owner) has had in operation
of the type required by the specifications of the Bid or RFP: 4
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: 14
City of Miami Page 37
Bid No. 04-05-104
Bid Response Form - 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:
AGENCY/FIRM NAME/ADDRESS DATE(S) OF CONTRACT DESCRIPTION OF CONTRACT
CITY OF MIAMI BEACH 1994 TO PRESENT POLICE DEPARTMENT
1300 WASHTNGTON AVE
MIAMI BEACH, FT. 33139
CONTACT PERSON: INGRID CARRIES PHONENO.: (305) 673-4776
AGENCY/FIRM NAME/ADDRESS DATE(S) OF CONTRACT DESCRIPTION OF CONTRACT
MIAMI—DADE COUNTY
111 N.W. 1 STREET
MIAMI, FLORTDA -1319R
CONTACT PERSON: SONIA WALKER PHONENO.: (305) 375-2297
1993 TO PRESENT VARIOUS DEPARTMENTS
AGENCY/FIRM NAME/ADDRESS DATE(S) OF CONTRACT DESCRIPTION OF CONTRACT
CTmV OF SOUTH MIAMI 2004 TO PRESENT POLICE DEPARTMENT
6130 S.W. 72 ST
SOUTH_ MIAMT , FLA 1 1 1 4 3
CONTACT PERSON: LT. BRUCE ROSS PHONE NO.: (3 0 5 )6 6 3 -- 6 3 01
AGENCY/FIRM NAME/ADDRESS DATE(S) OF CONTRACT DESCRIPTION OF CONTRACT
CITY OF SUNNY ISLES 2002 TO PRESENT POLICE DEPARTMENT
17070 COLLINS AVE#255
SUNNY ISLES, FT,A 1 'I 1 F 0
CONTACT PERSON: SGT. NOE PHONENO.: (305) 947-4440
FAILURE TO FULLY COMPLETE. AND RETURN THIS FORM MAY DISQUALIFY YOUR BID.
City of Miami Page 38
Bld No. 04-05-104