CITY OF PORT ORANGE, FLORIDA
REQUEST FOR STATEMENT OF QUALIFICATIONS
RFSQ #25-24
CITYWIDE RIGHT-OF-WAY CONSULTING SERVICES
City of Port Orange Purchasing Division
Prepared by: Jill Poolman
Release Date: December 19, 2025
Due Date & Time: January 23, 2025 at 2:30 PM EST
City of Port Orange, Florida
1000 City Center Circle, Port Orange, FL 32129
(386) 506-5718
purchdiv@port-orange.org; www.port-orange.org
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Legal Notice to Respondents
RFSQ #25-24
Citywide Right-of-Way Consulting Services
Notice is hereby given that the City of Port Orange is seeking Statements of Qualifications for RFSQ #25-24 Citywide
Right-of-Way Consulting Services. Submissions of Statements of Qualifications will be accepted in the City Clerk’s
Office, Port Orange City Hall, 1000 City Center Circle, Port Orange, Florida until 2:30 PM Eastern Standard Time (EST)
on January 23, 2026 which may be amended by addendum issued by the City. All untimely statements will not be
considered and will be returned to the Respondent unopened. All statements will be evaluated to ensure they contain
all required forms in order to deem the Respondent responsive or non-responsive. Statements will be opened and
read aloud January 23, 2026 at 2:30 PM EST in Council Chambers.
DESCRIPTION: The general objective is for the Consultant to assist the City of Port Orange on an as-needed basis and
perform right-of-way support services at the City’s discretion. The Consultant shall follow a systems engineering
process to ensure that all required project components are included in the development of the documents and the
project can be built as designed and to specifications. Consultant’s work must be in compliance with the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970 and all amendments thereto.
Projects may be funded by Florida Department of Transportation (FDOT) Local Agency Program (LAP) Agreements.
Respondents will comply with the Local Agency Program Federal-Aid Terms for Professional Service Contracts. There
shall be no preference given to Respondents regarding the location of the physical address of the Respondent’s place of
business.
All Statements of Qualifications are solicited and will be evaluated on the criteria outlined in this RFSQ. An evaluation
committee primarily comprised of City staff has been appointed to evaluate and rank the Statements of Qualifications
received in accordance with the Code of Ordinances City of Port Orange, Chapter 2, Article VI, Division 2, Section 2-
278, and all statements will be evaluated in accordance with the provisions thereof. Code of Ordinances, City of Port
Orange is on file in the Office of the City Clerk, City Hall, 1000 City Center Circle, Port Orange, Florida 32129, and at
www.municode.com.
Copies of the RFSQ documents, requirements, scope of service and all other pertinent information necessary to
submit a complete package may be obtained electronically from the City of Port Orange Purchasing webpage at
https://www.port-orange.org/bids.aspx and DemandStar at www.demandstar.com.
All questions shall be directed in writing to Jill Poolman, Purchasing Manager at jpoolman@port-orange.org and
purchdiv@port-orange.org and reference “Questions on RFSQ #25-24 Citywide Right-of-Way Consulting Services” in
the subject line. Last day for questions will be January 9, 2026 at 5:00 PM EST.
The Cone of Silence begins with the issuance of the solicitation document and continues until City Council meets to
make a final decision on an award. During this time respondents, suppliers, contractors and sub-contractors are
prohibited from all communications regarding the solicitation with City staff, City consultants, City legal counsel, City
agents, or elected officials. Any respondent who initiates any discussions or attempts to influence a member or
members of the aforementioned shall be disqualified from continued participation in the procurement process with
regard to that particular solicitation. While the Cone of Silence is in effect, all communications from potential
respondents, suppliers, contractors and sub-contractors must be directed to the Purchasing Division @
purchdiv@port-orange.org.
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Cut along the outer border and affix this label to your sealed statement envelope/package to identify it as a
“Sealed Statement of Qualifications”. Be sure to include the name of the company submitting the statement
where requested.
SEALED STATEMENT OF QUALIFICATIONS – DO NOT OPEN
SEALED STATEMENT NO. RFSQ #25-24
STATEMENT TITLE:
CITYWIDE RIGHT-OF-WAY CONSULTING SERVICES
DUE DATE AND TIME:
JANUARY 23, 2026 AT 2:30 PM EST
SUBMITTED BY:
__________________________________________________________
(Name of Company)
ADDRESS:
__________________________________________________________
___________________________________________________________
DELIVER TO:
CITY OF PORT ORANGE CITY CLERK’S OFFICE
ATTN: JILL POOLMAN
1000 CITY CENTER CIRCLE
PORT ORANGE, FL 32129
DATE/TIME RECEIVED:
_____________________________________________________________
(To be stamped by Clerk’s Office)
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Contents
SECTION 1 – PURPOSE AND OVERVIEW ................................................................................................................................................... 5
SECTION 2 – INSTRUCTIONS TO RESPONDENTS.................................................................................................................................. 6
SECTION 3 – SCOPE OF SERVICES AND REQUIREMENTS ................................................................................................................. 9
SECTION 4 – STANDARD PURCHASING DEFINITIONS.....................................................................................................................17
SECTION 5 – GENERAL TERMS AND CONDITIONS.............................................................................................................................19
SECTION 6 – SPECIAL CONDITIONS...........................................................................................................................................................33
SECTION 7 – STATEMENTS OF QUALIFICATIONS SUBMITTAL & REQUIREMENTS.........................................................34
SECTION 8 – EVALUATION OF STATEMENTS OF QUALIFICATIONS.........................................................................................36
SECTION 9 – REQUIRED FORMS ..................................................................................................................................................................39
FORM 9.1 – RESPONDENTS SUBMITTAL CHECKLIST .................................................................................................................39
FORM 9.2 – RESPONDENTS ACKNOWLEDGEMENT FORM .......................................................................................................40
FORM 9.3 – ADDENDUM AND CHANGE ORDER PROCEDURE ACKNOWLEDGEMENT................................................41
FORM 9.4 – SWORN STATEMENT ON PUBLIC ENTITY CRIMES .............................................................................................42
FORM 9.5 – ANTI-COLLUSION FORM ...................................................................................................................................................43
FORM 9.6 - STATEMENT OF RESPONDENT’S QUALIFICATIONS............................................................................................44
FORM 9.7 – PROFESSIONAL REFERENCES FOR PREVIOUS EXPERIENCE .........................................................................45
FORM 9.8 – AUTHORIZED SIGNATURES/NEGOTIATORS .........................................................................................................46
FORM 9.9 - SCRUTINIZED COMPANIES CERTIFICATION……………………………………………………………………………..47
FORM 9.10 - E-VERIFY AFFIDAVIT........................................................................................................................................................48
FORM 9.11 – AFFIDAVIT OF COMPLIANCE WITH F.S. 287.138……………………………………………………………………49
FROM 9.12 – NON-DISCLOSURE AGREEMENT ................................................................................................................................50
EXHIBIT ‘A’ - DESCRIPTION OF CONFIDENTIAL MATERIAL...............................................................................................53
FORM 9.13 – NO SUBMITTAL STATEMENT FORM........................................................................................................................54
AFFIDAVIT REGARDING WORKER’S COMPENSATION (FOR INFORMATIONAL PURPOSES ONLY) ...................55
LEASED EMPLOYEE AFFIDAVIT (FOR INFORMATIONAL PURPOSES ONLY)...................................................................56
HUMAN TRAFFICKING AFFIDAVIT (FOR INFORMATIONAL PURPOSES ONLY)………….….…………………………….57
LAP FEDERAL AID TERMS FOR PROFESSIONAL SERVICES CONTRACTS…………………………………………………………58
CERTIFICATION REGARDING DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY EXCLUSION…….62
CERTIFICATION FOR DISCLOSURE OF LOBBYING ACTIVITIES ON FEDERAL-AID CONTRACTS……………………..63
DISCLOSURE OF LOBBYING ACTIVITIES…………………………………………………………………………………………………………64
TRUTH IN NEGOTIATION CERTIFICATION……………..………………………………………………………………………………………66
CONFLICT OF INTEREST/CONFIDENTIALITY CERTIFICATION FOR CONSULTANT/CONTRACTOR/TECHNICAL
ADVISORS……………………………………………………………………………………………………………………………………………………….67
STANDARD CITY OF PORT ORANGE CONTRACT DOCUMENT (FOR INFORMATIONAL PURPOSES ONLY) .........69
TASK AUTHORIZATION SAMPLE (FOR INFORMATIONAL PURPOSES ONLY) ....................................................................81
EXHIBIT ‘B’ – CONSULTANT EVALUATION FORM (FOR INFORMATIONAL PURPOSES ONLY)………….…………….83
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SECTION 1 – PURPOSE AND OVERVIEW
The purpose for this Request for Statement of Qualifications (RFSQ) is to solicit competitive sealed Statements of
Qualifications from qualified individuals and/or firms that are interested in providing the City of Port Orange right-
of-way support services at the City’s discretion.
NOTE: The City may not accept statements from firms that have had adversarial relationships with the City or firms
that have represented entities that have had adversarial relationships with the City. This includes the firm,
employees and financial or legal interests. The City will not enter into a contract or conduct business with any firm
or any personnel that is listed on the Federal, State, or other local government agencies’ Excluded Parties List,
Suspended List or Debarment List.
It is the intent and purpose of the City of Port Orange (City) that this Request for Statement of Qualifications promotes
competitive selection. It shall be the Respondent’s responsibility to advise the Purchasing Division if any language,
requirements, etc., or any combination thereof, inadvertently restricts or limits the requirements stated in this RFSQ
to a single source.
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This page summarizes the opportunity, including an overview and a preview of the attached documents.