1-Appendix B General Contractor’s Qualification Application 25OCT2025.pdf

Appendix B – General Contractor’s Qualification Application

[This page was intentionally left blank.] i

GENERAL CONTRACTOR QUALIFICATION DOCUMENTS

FOR

PHASE 1 – BECK SEWER TRUNK LINE REHABILITATION

SALT LAKE CITY PROJECT NO.: 525003142

LOCATION

800 North & 300 West to 1800 North & Beck Street

August 2025

OWNER

Salt Lake City Corporation Department of Public Utilities

1530 S. West Temple Salt Lake City, Utah 84115

General Contractor Qualifications to Bid

GENERAL CONTRACTOR QUALIFICATION TO BID

FOR Phase 1 – Beck Sewer Trunk Line Rehabilitation

INSTRUCTIONS FOR SUBMITTAL OF QUALIFICATIONS WITH BID

The Salt Lake City Department of Public Utilities (SLCDPU) has determined that General Contractors performing Cured-in-Place Pipe (CIPP) work for the Phase 1 – Beck Sewer Trunk Line Rehabilitation project, must be qualified to bid. It is mandatory that all General Contractors submit a qualification package with bid including all materials requested herein and be approved by SLCDPU. Bids shall only be accepted from a General Contractor that submits qualifications with Bid, as defined herein, and upon review by SLCDPU are found to be complying with the requirements herein.

QUALIFICATION SUBMITTAL INSTRUCTIONS AND REQUIREMENTS

The General Contractor Statement of Qualifications / Qualification Application (SOQ) should be prepared and submitted with the Bid as defined in the BID FORM, 00 41 00.

Instructions: Compile SOQ into one single PDF file (including cover sheet, cover letter, etc.). Upload your single file for this event using the Utah Public Procurement Place (BONFIRE) website. Responses must be uploaded, and the electronic submission completed by the time and date specified for project in 1.9 - BID LOCATION AND OPENING, INVITATION TO BID, 00 11 16. You MAY NOT submit documents that are embedded (zip files), movies, wmp and mp3 files or password protected files, etc. Such actions may cause your SOQ to be deemed as “non-responsive”. After uploading your response file, offerors MUST go to “Review and Submit” and click “SUBMIT RESPONSE” to complete the process.

OWNER'S RIGHTS RESERVED: The OWNER reserves the right to qualify any or all general contractors, request additional qualification information, and to modify the schedule and scope of this project.

PURPOSE

The purpose of the qualification process is to select General Contractors deemed to be qualified and capable of completing the Salt Lake City Department of Public Utilities Phase 1 – Beck Sewer Trunk Line Rehabilitation Project, hereinafter “Project”.

Qualification of a Contractor does not guarantee that work will be awarded to the Contractor. The sole responsibility for selecting qualified contractors will be made by SLCDPU and their decision will be final. SLCDPU reserves the right to reject any and all applications that do not meet these requirements.

CONTRACTOR QUALIFICATION REQUIREMENTS

CONTENT OF STATEMENT OF QUALIFICATIONS

The qualification statement shall include information requested in the Qualifications Questionnaire section. The Contractor shall complete and sign the Qualifications Questionnaire section and submit it as part of the Statement of Qualifications.

GENERAL CONTRACTORS

All CIPP rehabilitation work must be performed by Qualified General Contractors or Boiler, Pipeline, Waste Water, and Water Conditioner Contractors.

Contractors must be eligible to perform work in the State of Utah and hold an active and in good standing E100

– General Engineering Contractor or S410 – Boiler, Pipeline, Waste Water, and Water Conditioner Contractor license at the time of Award of Contract. If the Contractor does not hold a license at this time, indicate anticipated date license will be obtained. Licensing information is available through the Utah Division of Occupational and Professional Licensing (DOPL), http://dopl.utah.gov/licensing/contracting.html.

CIPP REHABILITATION

For the Project, installation of Cured-in-Place Pipe (CIPP) within an existing 48- and 64-inch sewer trunk line is required. All CIPP liners must be provided in accordance with ASTM F1216. Water inversion and on-site wet-out are anticipated as part of this project.

General Contractor’s experience should demonstrate their ability to perform applicable curing and resin impregnation for the proposed CIPP technology, styrene handling and mitigation, and mitigation of community impacts.

EVALUATION OF STATEMENT OF QUALIFICATIONS

Statements of Qualifications will be evaluated based on the following criteria:

• Personnel and qualifications

• Previous project experience

• Financial condition

• Previous work of similar scope

• References

Qualified contractors must demonstrate that they meet the following minimum criteria:

• Contractor shall hold a current contractor’s license in a classification appropriate to this Project (If no license at this time, indicate anticipated date license will be obtained).

• Contractor shall have $10.0 million minimum available bonding capacity.

• Contractor shall have significant experience installing large diameter cured-in-place pipe (CIPP) on sewer rehabilitation projects (a minimum of 100,000 linear feet of installed CIPP of 36-inch diameter or larger pipe and completed within the last 5 years).

• Contractor shall have experience with Public Outreach Program development and implementation.

• Contractor’s project superintendent shall have at least 5 years of experience and shall have been superintendent on at least three projects totaling the installation of 10,000 linear feet of CIPP within the last 5 years on CIPP product of 36 inches or greater in diameter.

• Contractor’s project manager shall have at least 5 years of experience and shall have been project manager on at least three projects totaling the installation of 10,000 linear feet of CIPP within the last 5 years on CIPP product of 36 inches or greater in diameter.

The City shall be entitled to contact all references listed by the contractor, as well as references from entities for which the Contractor has provided services as known by the City or Engineer.

The Contractor, by submitting a Statement of Qualification/Qualification Application (SOQ), expressly agrees that any information concerning the Contractor in possession of said entities and references may be made available to the Owner.

CONFIDENTIALITY

All responses, inquiries, and correspondence relating to this Statement of Qualification/Qualification Application and all reports, charts, displays, schedules, exhibits, and other documentation produced by the offeror that are submitted to the City, as part of the SOQ or otherwise, shall become the property of the City when received by the City and may be considered public information under applicable law. The City is subject to the disclosure requirements of the Government Records Access and Management Act, Title 63G, Chapter 2, Utah Code Annotated (“GRAMA”). The City generally considers SOQ and all accompanying material to be public and subject to disclosure. Any material considered by the offeror to be proprietary must be accompanied by a written claim of business confidentiality containing a concise written statement of reasons supporting the claim. Blanket claims that the entire Qualification Application is confidential will be denied. The City cannot guarantee that any information will be held confidential. If the offeror makes a claim of business confidentiality, the City, upon receipt of a request for disclosure, will determine whether the material should be classified as public or nonpublic, and will notify the offeror of such determination. The offeror is entitled under GRAMA to appeal an adverse determination. The City is not obligated to notify the offeror of a request to see the offeror’s SOQ, and will not consider a claim of confidentiality, unless the offeror's claim of confidentiality is made in a timely basis and in accordance with GRAMA.

The City reserves the right to request a contractor to clarify any part of his statement. Response to such requests must be made in writing and will become part of the statement of qualifications. Unsolicited supplementary information and materials received after the deadline will not be considered in the evaluation.

Each submittal package for Bidder Qualification must be signed by an individual who has the legal authority to bind the applicant on whose behalf that person is signing (Use Application Certification Form in Appendix B of the enclosed qualification questionnaire). If any information provided by the applicant is inaccurate, the applicant must immediately notify the City and provide updated, accurate information in writing and under penalty of disqualification prior to the date and time set for the closing of the qualification process.

QUALIFICATION PARTICIPATION REIMBURSEMENT

SLCDPU (and its engineer) shall not be responsible for any direct or indirect cost incurred by applicants because of participation in this qualification process. Each applicant shall bear its own expense in connection with the preparation and submission of materials and the provision of any supplemental information requested. SLCDPU (and its engineer) shall have no liability for cost incurred by applicants in connection with the review and evaluation of qualification materials and any findings and determinations made thereafter. All materials and information submitted during the qualification process will become the property of SLCDPU and will not be returned to the Applicant.

REPRESENTATION REGARDING ETHICAL STANDARDS FOR CITY OFFICERS AND EMPLOYEES AND FORMER CITY OFFICERS AND EMPLOYEES. The Proposer represents that it has not: (1) provided an illegal gift or payoff to a City officer or employee or former City officer or employee, or his or her relative or business entity; (2) retained any person to solicit or secure this contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, other than bona fide employees or bona fide commercial selling agencies for the purpose of securing business; (3) knowingly breached any of the ethical standards set forth in the City's conflict of interest ordinance, Chapter 2.44, Salt Lake City Code; or (4) knowingly influenced, and hereby promises that it will not knowingly influence, a City officer or employee or former City officer or employee to breach any of the ethical standards set forth in the City's conflict of interest ordinance, Chapter 2.44, Salt Lake City Code.

Pursuant to the foregoing, it is the City’s policy that City employees are prohibited from personally accepting gifts, incentives, and marketing or promotional items from Suppliers and Suppliers shall not offer such items to City employees. Such offers from Suppliers are inappropriate and may result in suspension or debarment of the Supplier from the City's procurement processes.

APPEAL PROCESS

There is no appeal for applications that have been determined to be not qualified as a result of incompleteness, lateness, or falsification of information. The closing time for submission of qualification packages will not be changed to accommodate supplementation of incomplete or late submissions.

ADDENDA AND INTERPRETATIONS

All requests for interpretation of the Application for Bidder Qualification must be made in writing via Utah Public Procurement Place (BONFIRE). To be given consideration, such requests must be received by no later than seven (7) calendar days prior to the due date of this Qualification Application. Any and all such interpretations and any supplemental instructions or changes will be in the form of a written addenda which, if issued, will be issued via U3P, not later than forty-eight (48) hours prior to the date and time fixed for submitting the application. Acknowledgement of receipt of addenda must be included on the Applicant Certification.

THIS PAGE INTENTIALLY BLANK

Page i Qualifications Questionnaire – General Contractor

REQUEST FOR QUALIFICATIONS

SALT LAKE CITY DEPARTMENT OF PUBLIC UTILITES

QUALIFICATIONS QUESTIONNAIRE

1. Company Name

2. Utah Contractor License Classification(s)

3. Utah Contractor License Number(s) NOTE: Proposers will be required to have or demonstrate the ability to obtain Utah Contractor’s license appropriate to the project prior to the Contract Award. If no license at this time, indicate anticipated date license will be obtained.

4. Bonding Capacity

5. Location of Headquarters

6. Office Responsible for Project

7. Years your company has been in business on a continuous basis under the same name

8. Provide chronological list of "completed" pipeline CIPP rehabilitation projects done by Bidder during the last 5 years, including project name, address, owner, contact name, and current telephone number. For pipeline projects include pipe diameter(s) and length of pipe installed as part of each. This list should demonstrate Contractor’s CIPP installation work equal to or greater than 100,000-feet in length.

Additional project experience prior to the last 5 years may be added to the list, as needed, to demonstrate compliance with the minimum total length requirement.

9. List the five (5) CIPP projects of similar diameter (equal to or greater than 36” diameter) completed by your company. At least three (3) projects shall have been led by the proposed superintendent and shall be equal to or greater than 10,000 feet in total length.

(Use Form A, in Appendix A. One form per reference project).

10. Project Resident Superintendent(s) for this Project (Please submit a copy of resume for each and use Form B, Appendix A to provide further detail, one for each candidate)

11. Project Manager(s) for this Project (Please submit a copy of their resume, one for each candidate)

12. Site Safety Representative(s) for this Project (Please submit a copy of their resume, one for each candidate)

Page ii Qualifications Questionnaire – General Contractor

13. Additional Office Support Personnel for this Project:

Name Job Title / Description

14. List Gross annual contract amounts for the years indicated:

2025 2022

2024 2021

2023 2020

15. Indicate value of uncompleted CIPP work $

16. Pending Litigations? Yes No

If Yes, please describe (attach additional sheets as needed):

Page iii Qualifications Questionnaire – General Contractor

17. Has there been any litigation against your company under this or any name in the past five years?

Yes No

If Yes, please describe (attach additional sheets as needed):

18. Additional Contractor Information

a. Telephone number:

b. Firm Type: Corporation Partnership Individual Joint Venture

c. Name of current President or CEO:

d. Number of years in that position:

e. Contractors Surety (name, address, telephone number and contact person):

f. Contractors Bank or Financial Institution (name, address, telephone number and contact person):

g. Contractors Insurance Company (name, address, telephone number and contact person):

h. Has the Contractor, or any of its parents or subsidiaries, ever had a bankruptcy petition filed in its name, voluntarily or involuntarily? If yes, specify date, circumstances, resolution and other details on separate page.

19. Please attach a copy of the following, along with required information listed above, to the SOQ document:

a. Copy of your quality control program, and

b. Copy of your safety program.

Page iv Qualifications Questionnaire – General Contractor

20. Provide work approach in accordance with the following:

The Applicant shall describe their approach to scheduling CIPP rehabilitation work and their methodology and sequencing to complete the work within the Owner’s estimated schedule. The description should demonstrate efforts to minimize downtime of the collection system, including service lateral, mitigate community and traffic impacts, and anticipated interaction activities and interfaces with the community and the City. Limitations and flexibility constraints of the Contractor and approaches for minimizing the schedule should also be discussed. The approach should include no more than 5 pages of written text.

The Applicant’s methodology should provide clear and concise step-by-step discussion on the following aspects of the Work, including but not limited to the following:

Pre-Lining Measures

• Pre-Cleaning of sanitary sewer pipelines including health and safety and performance requirements.

• Pre-Inspection plan including confirmation of diameter, loss of material, and direct measurement for sizing the liner; and the approach to identify and address conditions in the existing sewer that could hinder installation

• Accurate location of service connections

• Temporary bypass pumping and flow control including both mainlines and service connections and spill prevention

• Traffic control and mitigation of community impact.

Lining Measures

• Site setup including location of equipment and direction of pull

• Installation, curing control, and CCTV inspections during installation including methods to control formation of wrinkles at the manhole wall.

• Sampling methods and the Contractor’s quality control/quality assurance procedures to provide a liner meeting the thickness and material properties specified

• Sampling and Testing of installed liner including preparation of samples for structural tests and sampling and repair of installed liners.

Post-Lining Measures

• Contractor’s methodology to terminate the liner in manholes providing a smooth transition

• Contractor’s approach to re-establish and seal service connections to provide a smooth transition, including details for the method to seal any annular space between the host pipe and liner if present and methods to seal the connection at the lateral.

• Post cure CCTV inspection

• Bypass removal and cleanup

SALT LAKE CITY DEPARTMENT OF PUBLIC UTILITIES

APPLICATION FOR GENERAL CONTRACTOR QUALIFICATIONS

Page A-1 Appendix A, Forms

APPENDIX A - FORMS

FORM A – REFERENCE (page 1 of 2)

In this form, enter information about references for the Contractor’s Project (check appropriate Box if this project included your proposed Project Superintendent(s), Project Manager(s) and/or Site Safety Representative(s) – check all that apply) with a separate form for each reference. Names, references, phone numbers, and e-mail addresses must be current and verified by the Applicant. References that do not contain current names and contact information will be ignored.

The City reserves the right to contact any party it deems appropriate. By submitting a response to this Application, the Applicant releases the City and any references from all liability concerning this exchange of information.

Reference for:

Contractor’s Project and/or Superintendent Candidate, Name: ________________________________ and Project Manager Candidate, Name: _______________________________ and Site Safety Candidate, Name: ____________________________________

Project Name:

Location (City, State):

Owner Name and Contact Person (Owner’s Project Manager):

Phone (incl. area code):

E-mail Address:

Owner’s Physical Location (City, State):

Engineering Design Firm and Contact Person (Project Manager):

Engineering Design Firm Physical Location (City, State):

General (Prime) Contractor Project Manager or Superintendent

(if applicable):

General (Prime) Contractor Physical Location (City, State):

Page A-2 Appendix A, Forms

FORM A – REFERENCE (page 2 of 2)

Description of the Project (include diameter, pipe material, total length installed):

Description of Work Performed (if prime contractor, itemize work self-performed and work subcontracted):

Duration of Project (in months):

Original Completion Date:

Actual Completion Date:

Completed within the contract time?

Yes No

If “No” explain any delays from original contract time on a separate signed sheet(s) of paper.

Original Contract Value:

Final Contract Value:

Claims or Lawsuits Filed

Were any claims or lawsuits filed during or as a result of this project?

Yes No If “Yes,” on separate signed sheets of paper identify the claim by providing the project name, date of the claim, name of the entity (or entities) against whom the claim was filed, a brief description of the nature of the claim, the court in which the case was filed, and a brief description of the status of the claim (pending, or if resolved, a brief description of the resolution).

Permitting and Code Compliance

Were there any permit violations or unresolved code violations which occurred during the project?

Yes No If “Yes,” on separate signed sheets of paper list the incidents and the resolution of the incidents and whether the Owner was fined, whether the Applicant was fined, or if a lawsuit resulted.

Subcontractors and Vendors

Were there any subcontractors and/or vendors to the Contractor with commitments over 10% of the bid that were terminated or defaulted, and/or did any subcontractors and/or vendors abandon the project at any point during the project?

Yes No If “Yes,” on separate signed sheets of paper list the subcontractors and/or vendors, explain the problem or dispute, indicate the resolution of the dispute, and the effect on the overall project schedule and cost.

References

Submit one (1) reference for the Contractor on Form A for each project identified.

Page A-3 Appendix A, Forms

FORM B: PROJECT SUPERINTENDENT CANDIDATE(S)

Complete one form for each proposed Project Superintendent

The Project Superintendent must have performed in the role and have the minimum project experience as described below:

Superintendent (Print Name & Title):

Contact Information (Telephone, Fax, Email):

Submittal Date:

Signature (sign and print):

1. Project Superintendent Experience

a. Has at least five (5) years of experience as superintendent for CIPP rehabilitation.

b. Has successfully supervised three (3) CIPP projects, totaling in excess of 10,000-feet.

If the answer is “No” to any of the questions, provide an explanation and a detailed response.

2. Provide Resume

Provide Candidate resume. Include the names, addresses of companies he/she has been affiliated with in the last five (5) years. List the name, qualifications (including any applicable training and certifications), and background of the proposed Project Superintendent for this project. Certify that he/she will be available for the entire project duration.

On the resume, in addition to the project experience required above, list any additional projects most similar in nature and complexity, in size, type, and duration for which the proposed Project Superintendent has supervised or directed construction in the last five years.

I (we) hereby certify that __________________________ (Company Name) and __________________________(Superintendent Name) satisfy the Superintendent minimum requirements stated herein, and shall not at any time after submission of the bid, or during the course of the Work, dispute, complain, or assert that there was any misunderstanding in regard to the qualifications to perform the Work, and that the qualifications must be met through the course of the Work.

Applicant Name

Applicant Signature

Superintendent / Operator Name

Superintendent / Operator Signature

3. References

Submit three (3) Form A’s, one (1) for each project identified for item 1b above.

Page A-4 Appendix A, Forms

Page B-1 Appendix B, Application Certification Form

APPENDIX B – APPLICATION CERTIFICATION FORM

Applicant Certification and Representation Regarding Ethical Standards for City Officers and Employees and Former City Officers and Employees– To Be Signed by an Officer of the Company (Applicant)

By signing below, I certify that to the best of my knowledge:

1. The contents of the Application for Bidder Qualification (including all submitted attachments and other documentation) are true and correct, and that any false, deceptive, or fraudulent statements on the Application or at a hearing will result in the denial of qualification.

2. To the best of my knowledge neither the Applicant nor its agents, affiliates, partners, employees, officers, directors, or other associates of any kind, have colluded with any individual or entity on behalf of the Applicant, or themselves, to produce an unfair advantage over others or to gain favoritism in the award of any contract resulting from this Application for Bidder Qualification.

3.Representative for any conceivable damage arising thereafter; and affirms that no compensation is expected as a result of the preparation of said response. By responding to and submitting this Application for Bidder Qualification, the Applicant agrees to indemnify and hold harmless all parties to this Application, including, but not limited to, the City, Engineer, and Resident Project

4. Applicant agrees that should there be any change at any time in debarment status, financial condition, corporate structure, or personnel that affects the Applicant’s qualification status up to and including bid closing, the Applicant will give written notice of such change to the City at least ten business days prior to bid closing and it is understood that such notice may change the eligibility of the Applicant to submit the bid. Failure to notify the City of any material change in the Applicant's qualification status may constitute grounds for rescinding a "qualified to bid" rating or for rejection of a bid.

5. Applicant has examined and carefully studied the Application for Bidder Qualification and the following Addenda, receipt of which is hereby acknowledged (list Addenda by Addendum Number and Date):

Addendum No. Date Addendum No. Date

Addendum No. Date Addendum No. Date

6. Applicant agrees to use the proposed personnel submitted in the Application for the duration of this project.

7. The Proposer represents that it has not: (1) provided an illegal gift or payoff to a City officer or employee or former City officer or employee, or his or her relative or business entity; (2) retained any person to solicit or secure this contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, other than bona fide employees or bona fide commercial selling agencies for the purpose of securing business; (3) knowingly breached any of the ethical standards set forth in the City's conflict of interest ordinance, Chapter 2.44, Salt Lake City Code; or (4) knowingly influenced, and hereby promises that it will not knowingly influence, a City officer or employee or former City officer or employee to breach any of the ethical standards set forth in the City's conflict of interest ordinance, Chapter 2.44, Salt Lake City Code.

Pursuant to the foregoing, it is the City’s policy that City employees are prohibited from personally accepting gifts, incentives, and marketing or promotional items from Suppliers and Suppliers shall not offer such items to City employees. Such offers from Suppliers are inappropriate and may result in suspension or debarment of the Supplier from the City's procurement processes.

Name (print): ______________________________________________Title: ____________________________________________________

Signature: __________________________________ Phone (incl. area code): ___________________________Date: ______________

Subscribed and sworn to before me this day of , 2025.

Notary Seal or Original Notary Public Signature

Stamp

My commission expires: