00 45 14 GC Bidder Qual Statement 20251001.docx
DOCX document 79 KB Posted
- Attached to
- Invitation to Bid for Construction Services
- Solicitation number
- 2621BIRR31
- Issued by
- Hartford County, Connecticut
About this file
This is a General Contractor Bidder's Qualification Statement form issued by the Connecticut Department of Administrative Services (DAS) for the Old New-Gate: Viets Rehabilitation Project located at 106 New Gate Road, East Granby, Connecticut, under project number BI-RR-31. All bidders are required to complete, sign, notarize, and submit this form to CTsource prior to the bid opening on October 14, 2026 at 10:00 AM EDT. The form requires bidders to provide comprehensive documentation including resumes of all supervisory personnel, letters of reference from architects, engineers, or owners confirming satisfactory completion of similar projects within the past five years, and a detailed list of all construction projects completed in the past five years with specific project information. For projects exceeding $5 million, bidders must submit the name and resume of the construction scheduler and a letter of reference for that scheduler. Failure to properly complete and submit all required attachments and information prior to the bid opening deadline will result in automatic bid rejection and shall not be considered a minor irregularity under Connecticut General Statutes Sections 4b-92 and 4b-95.
The qualification statement requires bidders to provide extensive information regarding firm history, legal standing, and safety record. Specifically, bidders must document their present legal name as registered with the Connecticut Secretary of State, years in business, years of operation as a general contractor, and any history of failed or terminated contracts. Additionally, bidders must disclose all legal or administrative proceedings, disbarments, suspensions, OSHA violations, criminal convictions related to employee injury or death, changes in financial condition or business organization, and any claims of discriminatory or harassing conduct asserted against the firm or its proposed subcontractors and suppliers. Bidders must also ensure that employment statistics have been submitted in CTsource for Commission on Human Rights and Opportunities (CHRO) compliance. The form must be signed and notarized, with the notary public statement completed and all responses sworn to be true and correct.
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SECTION 00 45 14
GENERAL CONTRACTOR BIDDER'S QUALIFICATION STATEMENT
SECTION 00 45 14
GENERAL CONTRACTOR BIDDER'S QUALIFICATION STATEMENT
General Contractor Bidder’s Qualification Statement
| Project Number: |
| BI-RR-31 |
| Project Name: |
| Old New-Gate: Viets Rehabilitation |
| Project Location: |
| 106 New Gate Road, East Granby, CT, 06026 |
General Instructions
(THIS FORM HAS BEEN REORGANIZED; READ ALL SECTIONS CAREFULLY):
· All Bidders are required to complete, sign, notarize, and upload this form to CTsource prior to the date and time of the Bid Opening.
· Failure to properly complete, answer any question, provide required attachments, provide required information, sign, notarize, and upload this form to CTsource prior to the date and time of the Bid Opening shall cause rejection of the bid and shall not be considered a minor irregularity under Connecticut General Statutes Sections (C.G.S. §§) 4b-92 and 4b-95.
· Combine required attachments into one PDF and upload with this 00 45 14 General Contractor Bidder’s Qualification Statement.
· The awarding authority may reject a bid as non-responsive if the Bidder does not make all required pre-award submittals within the designated time period.
· The Department reserves the right to request any additional or supplemental information necessary to complete its evaluation of a Bidder’s qualification.
· Note Regarding Completion of this Section: If a question or request for information does not pertain to your organization in any way, use the symbol “N/A” (Not Applicable). If you need additional space to respond to a question, attach additional information on 8 ½” x 11” sheets with your letterhead as necessary and reference the specific subsection number. Any and all additional information must be relevant to the specific Invitation to Bid. Any and all additional information must be on company letterhead and must reference the specific 00 45 14 section and subsection numbers.
PART 1: REQUIRED ATTACHMENTS
| 1.1 |
| ATTACHMENT 1: Resumes Of All Supervisory Personnel: |
Upload Resumes of all Supervisory Personnel, such as Principals, Project Managers, and Superintendents, who will be directly involved with the project on which you are now a bidder. Indicate their construction related training, certifications and licenses and the number of years of actual construction experience. Indicate the number of years of this actual construction experience which were in a Supervisory capacity.
Failure to upload the Resumes of all Supervisory Personnel prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
| 1.2 |
| ATTACHMENT 2: Letters Of Reference From Architects, Engineers Or Owners: |
Upload Letters of Reference from Architects, Engineers or Owners indicating that your Firm has satisfactorily completed in a timely manner contract work for projects within the cost estimate range, size and complexity of this project. Provide explanations where delays have occurred. This information should cover work done over the past five years.
Failure to upload the Letters of Reference from Architects, Engineers or Owners prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
PART 1: REQUIRED ATTACHMENTS (continued)
| 1.3 |
| ATTACHMENT 3: List Of All Construction Projects Completed In The Past Five Years: |
Upload a List of all Construction Projects your Firm has completed in the Past Five Years.
Failure to upload the List of all Construction Projects your Firm has completed in the Past Five Years prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
Include the following information for every project listed:
1. Project Title,
2. Project Location,
3. Construction Start Date,
4. Construction Finish Date,
5. Scope of Work Performed By Your Firm,
6. Original Contract Amount,
7. Final Contract Amount,
8. Original Contract Duration (Calendar Days),
9. Final Contract Duration (Calendar Days),
10. Owner,
11. Owner’s Representative,
12. Owner’s Representative Phone Number,
13. Design Firm,
14. Design Firm’s Representative,
15. Design Firm’s Representative Phone Number.
IMPORTANT NOTE: Two of the construction projects completed in the past five years shall be (1) single project contracts that have reached substantial completion, not aggregate projects; (2) of commercial and/or institutional construction work (this includes compliance with general requirements); (3) within the Cost Estimate Range stated in Section 00 11 16 Invitation to Bid for this project; and (4) of the size and complexity of this Project.
Failure to identify two such projects prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
| 1.4 |
| ATTACHMENT 4: Name and Resume of the Construction Scheduler: |
For Projects Greater than $5 Million, upload the Name and Resume of the Construction Scheduler in accordance with the requirements in Section 01 32 16.13 Critical Path Method Schedules of the General Requirements.
For Projects Greater than $5 Million, failure to upload the Name and Resume of the Construction Scheduler prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
| 1.5 |
| ATTACHMENT 5: Letter of Reference for the Construction Scheduler: |
For Projects Greater than $5 Million, upload a Letter of Reference for the Construction Scheduler in accordance with the requirements in Section 01 32 16.13 Critical Path Method Schedules of the General Requirements.
For Projects Greater than $5 Million, failure to upload the Name and Resume of the Construction Scheduler prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
PART 2: REQUIRED INFORMATION:
Failure to provide the Required Information prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
2.1 Firm’s Present Legal Name:
Enter the complete legal name exactly as it appears with the Secretary of State registry. The appropriate title must be used throughout the documents, for example: General Partner, Member, Manager, Sole Member, etc.
| Name: |
| Click or tap here to enter text. |
2.2 Firm’s Other Names:
Enter all other names by which your Firm has been known and the length of time known by each name:
| 2.3.1 | |
| Name: | |
| Click or tap here to enter text. | Years: |
| Enter text. | |
| Months: | |
| Enter text. |
| 2.3.2 | |
| Name: | |
| Click or tap here to enter text. | Years: |
| Enter text. | |
| Months: | |
| Enter text. |
| 2.3.3 | |
| Name: | |
| Click or tap here to enter text. | Years: |
| Enter text. | |
| Months: | |
| Enter text. |
| 2.3.4 | |
| Name: | |
| Click or tap here to enter text. | Years: |
| Enter text. | |
| Months: | |
| Enter text. |
| 2.3.5 | |
| Name: | |
| Click or tap here to enter text. | Years: |
| Enter text. | |
| Months: | |
| Enter text. |
2.3 Secretary of State Certification:
Check the applicable box and enter the Firm’s year of Certification with the Connecticut Secretary of State:
| Corporation | |
| ☐ | Certification Year: |
| Click or tap here to enter text. |
| Partnership | |
| ☐ | Certification Year: |
| Click or tap here to enter text. |
| Sole Proprietorship | |
| ☐ | Certification Year: |
| Click or tap here to enter text. |
| Limited Liability Company (LLC) | |
| ☐ | Certification Year: |
| Click or tap here to enter text. |
| Other: | ||
| Click or tap here to enter text. | ☐ | Certification Year: |
| Click or tap here to enter text. |
2.4 Years in Business:
How many years has your Firm been in business under its Present Legal Name?
| Years: |
| Click or tap here to enter text. |
2.5 Years in Business as a General Contractor:
How many years has your Firm been in business as a General Contractor?
| Years: |
| Click or tap here to enter text. |
2.6 Failure to Complete Contract(s):
List and explain if your Firm has ever failed to complete a contract or if any officer or partner of your Firm has ever been an officer or partner of another organization that failed to complete a contract. Indicate below the circumstances leading to the project failure and the name of the company which provided the bonding for the failed contract(s):
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.7 Termination of Contract(s):
List and explain if your Firm has ever had a contract terminated, indicating the circumstances leading to the project termination of contract(s):
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
PART 2: REQUIRED INFORMATION (continued):
Failure to provide the Required Information prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
2.8 Legal or Administrative Proceedings / Judicial or Administrative Sanctions:
List and explain all legal or administrative proceedings against your Firm or any officers, principals, partners, members, or employees of the organization currently pending or concluded adversely within the last five years, and any judicial or administrative sanctions that are still in effect against such organization, and any of its officers, principals, partners, members, or employees. (Exclude Occupational Safety and Health Act [OSHA] violations which are called for elsewhere in this statement). Add attachments as necessary.
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.9 Disbarments or Suspensions:
List and explain any disbarments or suspensions that have been imposed on your Firm in the past five years or that were still in effect during the five-year period or that are still in effect. Such list must include disbarments and suspensions of officers, principals, partners, members, and employees of your Firm:
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.10 Any Other Reasons Precluding Your Firm From Bidding:
List and explain any other reason(s) that precludes your Firm or any officer, principal, partner, member, or employees thereof from bidding on a contract in Connecticut or any other jurisdiction:
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.11 Willful or Serious Violations:
List and explain all willful or serious violations your Firm has had of any OSHA or of any standard, order or regulation promulgated pursuant to such act, during the three-year period preceding the bid, provided such violations were cited in accordance with the provisions of any State Occupational Safety and Health Act or Occupational Safety and Health Act of 1970. Indicate whether these were abated within the time fixed by the citation or whether the citation was appealed. If appealed what is the status or disposition. Add attachments as necessary.
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.12 Criminal Convictions:
List and explain any criminal convictions your Firm has had related to the injury or death of any employee in the three-year period preceding the bid. Add attachments as necessary.
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.13 Firm’s Financial Condition or Business Organization:
List and explain any changes in your Firm’s financial condition or business organization, which might affect your Firm’s ability to successfully complete this contract:
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
PART 2: REQUIRED INFORMATION (continued):
Failure to provide the Required Information prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
2.14 Failure to Submit CHRO Plan:
List and explain if your Firm has ever failed to submit a Commission on Human Rights and Opportunities (CHRO) Plan to CHRO. Indicate below the circumstances leading to the failure to submit the Plan to CHRO:
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.15 Disapproved / Noncompliant CHRO Plan:
List and explain if your Firm’s CHRO Plan has ever been disapproved by CHRO or determined to be noncompliant. Indicate below the circumstances leading to the disapproval or finding of noncompliance of your Plan by CHRO:
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.16 Anti-Discrimination and Anti-Harassment Claims:
List all claims of alleged harassment or discriminatory conduct asserted, filed or claimed against your Firm, and to the best of the Firm’s knowledge and belief, against its proposed subcontractors and suppliers being utilized for this Project. For each such claim, describe in sufficient detail the nature of the claim and its disposition. This includes claims against the Firm’s officers, directors, shareholders, partners and employees.
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.16.1 Actions Taken:
If any claim resulted in a finding or admission of discriminatory conduct on the part of an officer, director, shareholder, partner or employee, list the actions taken by your Firm or the applicable subcontractor and/or supplier to address and mitigate the individual’s conduct, including actions that made it clear such conduct: (i) is not tolerated and will not occur in the future; (ii) will not negatively impact the performance of work on the project job site; and (iii) does not reflect the beliefs and culture of the contractor, subcontractor, or supplier. The awarding authority will expect that your Firm, subcontractor, and/or supplier implement systematic monitoring and evaluation of the workplace to exclude such conduct.
☐ Not Applicable
| List and Explain: |
| Click or tap here to enter text. |
2.17 Employee Information for CHRO:
Ensure that your Firm’s employment statistics have been submitted in CTsource.
CTsource Instructions: 1. Log in to CTsource (https://portal.ct.gov/DAS/CTSource/Login). 2. Under your name at the top right, select “My Account”. 3. Select “Account Management” on the left side. 4. Select “State of Connecticut”. 5. Select “Additional Required Attributes”. 6. Complete each section as indicated, including “Employee Information for State of Connecticut, Commission on Human Rights and Opportunities (CHRO)”.
PART 2: REQUIRED INFORMATION (continued):
Failure to provide the Required Information prior to the date and time of the Bid Opening shall cause the bid to be rejected and shall not be considered a minor irregularity under C.G.S. § 4b-95.
2.18 Signature
| Dated at |
| Click or tap here to enter text. |
| Signed this |
| Enter text. |
| day of |
| Enter text. |
| , |
| 20 |
| Enter text. |
| Name of Firm: |
| Click or tap here to enter text. |
| Firm Address: |
| Click or tap here to enter text. |
Click or tap here to enter text.
Signature:
| Print or Type Name: |
| Click or tap here to enter text. |
| Title: |
| Click or tap here to enter text. |
2.19 Notary Statement
Mr./Mrs./Ms.
being duly sworn deposes and says that he/she is the of
(Position or Title)
, and that the answers to the foregoing
(Firm Name) questions and all statements therein contained are true and correct.
Subscribed and sworn before me this day of
, 20
Notary Public
My Commission Expires
, 20
End of Section 00 45 14 General Contractor Bidder's Qualification Statement
| CT DAS 5000 (Rev. 07.12.2021) |
| STANDARD FORM FOR ALL PROJECTS |
| CT DAS 5000 (Rev. 10.01.2025) |
| STANDARD FORM FOR ALL PROJECTS |
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