1-Section 00260 - Information Required of Bidder.pdf

JORDAN BASIN IMPROVEMENT DISTRICT INFORMATION REQUIRED OF BIDDER

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SECTION 00260

INFORMATION REQUIRED OF BIDDER

The Bidder shall furnish all of the following information. The Bidder is required to make a sworn statement that the information provided is true and complete in the presence of a notary public, and that notary public must notarize the signature of the Bidder. Failure to comply with these requirements may render the Bid non-responsive and subject to rejection. Attach additional sheets as needed to provide the required information. Award of a contract will be based upon review and evaluation of this information.

If the bidder is not the entity that will self-perform the bore or tunnel work, the bidder shall engage a subcontractor to perform such work and shall include the subcontractor’s bore/tunnel-specific qualifications in Section 00260, Item 21. The bidder is not allowed to substitute a different subcontractor for this work after bid submission; the subcontractor identified in the bid must be the one utilized for the bore/tunnel scope of work, unless otherwise approved in writing by the Owner.

1. Bidder’s name and address:

2. Bidder’s Telephone Number:

Bidder’s Fax Number:

Bidder’s Email Address:

3. Bidder’s Contractor License: Primary Classification

Utah License No.

Supplemental Classification, if any:

4. Number of years experience in work of this type:

5. Names and titles of owners, officers, managing members, general partners, joint venturers or other managing agents of Bidder:

Name Title

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6. Name of person who inspected site of the work on behalf of Bidder.

Name: Date of Inspection:

Title:

7. Proposed Project superintendent (attach resume):

Name: Years experience:

8. Proposed Project Manager, if other than superintendent (attach resume):

9. Proposed Site safety representative, if other than superintendent (attach resume):

10. Name, address, and telephone number of surety company and agent who will provide the required performance and payment bonds for the contract:

11. List of current jobs:

Owner Telephone No. Contract Amount ($) Type of Job Completion Percentage

12. List two projects of this type, size and complexity completed within the last five years:

Project Name Owner Telephone No. Contract Amount ($) Type of Job

13. Have you ever failed to complete any contract awarded to your company? If so, provide details.

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14. Have you ever received a notice of default and intention to terminate contract? If so, provide details.

15. Have you ever had a contractor’s license of your qualifier suspended or revoked as a result of enforcement actions initiated by the Utah State Department of Commerce, Occupational and Professional Licensing Division? If so, provide details.

16. List contracts that you failed to complete on time over the past two years:

Project Name Owner Telephone No. Contract Amount ($) Type of Job

17. List all lawsuits to which you are currently a party or have been a party over the past two years arising from contracts to perform construction services, or work performed under contracts to perform construction services.

Case Name Court Case Number General Description of Dispute

18. Attach a copy of OSHA 300 for the past two years.

19. Attach a copy of citation history from OSHA for past two years.

20. List of Subcontractors

The Bidder shall list below the name of each Subcontractor who will perform Work on this Project in excess of five percent (5%) of the total Bid Price; a description of the type of Work to be completed by the Subcontractor and the value of the Work as a percentage of the total Bid Price.

After the opening of Bids, no changes or substitutions will be allowed without the written approval of the Owner.

Subcontractor’s Name Type of Work Percent (%) of Total Bid Price

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21. Tunnel/Bore Contractor Qualifications

The Tunneling/Boring Contractor who will be installing the 36” steel casing under Mountain View Corridor (SR-85) and within UDOT right-of-way, must meet the following qualifications: Contractor shall have successfully completed a minimum of 1,500 LF of tunnel/bore experience in the last 10 years and completed 4 projects of similar size and scope in the last 2 years. Contractor shall provide the project information as requested below, which should demonstrate the Contractors’ experience in the last 2 years of 4 similar projects of size and scope. If the minimum LF requirement is not met within these 4 project examples, Contractor is to submit additional information showing they have met the 1,500 LF requirement in the last 10 years. The Contractors Project Manager must have at least 5 years of experience and have been Project Manager on the construction of at least two tunnel/bore pipe installation projects of similar scope within the last 5 years. Contractor's Project Superintendent shall have at least 10 years of experience and shall have been superintendent on the construction of at least three trenchless pipe installation projects of similar scope and size within the last 10 years.

Tunnel/Bore Contractors Name: _____________________________________________

Years in operation: ________________Type of Entity________________________

Have you or any of your subsidiaries filed bankruptcy? __________________

Tunnel/Bore Contractor to fill out the below section to show conformance to the minimum 1,500 LF experience requirement. References will be checked.

Proposed Tunneling/Bore Project superintendent:

Proposed Tunneling/Bore Project Manager, if other than superintendent:

Has your company ever installed sewer under Mountain View Corridor (SR-85) or another UDOT roadway within the State of Utah? Y/N

Tunnel/Bore Project 1 Title: __________________________Date Completed: _____________

Name and Address of Owner:

Contact Person: ________________________Phone Number: ____________________

Length of Sewer Installed: _________________LF Diameter: __ ________Inches

Pipe Material ____________________Casing Material (if applicable)________

Installation Method (Guided Pipe Ram, Open Shield, Tunnel Boring Machine, etc.):

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Additional Project Details:

Tunnel/Bore Project 2 Title: __________________________Date Completed: _____________

Name and Address of Owner:

Contact Person: ________________________Phone Number: ____________________

Length of Sewer Installed: _________________LF Diameter: __ ________ Inches

Pipe Material ____________________Casing Material (if applicable)________

Installation Method (Guided Pipe Ram, Open Shield, Tunnel Boring Machine, etc.):

Additional Project Details:

Tunnel/Bore Project 3 Title: __________________________Date Completed: _____________

Name and Address of Owner:

Contact Person: ________________________Phone Number: ____________________

Length of Sewer Installed: _________________LF Diameter: __ ________Inches

Pipe Material ____________________Casing Material (if applicable)________

Installation Method (Guided Pipe Ram, Open Shield, Tunnel Boring Machine, etc.):

Additional Project Details:

Tunnel/Bore Project 4 Title: __________________________Date Completed: _____________

Name and Address of Owner:

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Contact Person: ________________________Phone Number: ____________________

Length of Sewer Installed: _________________LF Diameter: __ ________ Inches

Pipe Material ____________________Casing Material (if applicable)________

Installation Method (Guided Pipe Ram, Open Shield, Tunnel Boring Machine, etc.):

Additional Project Details:

22. List of Suppliers

The Bidder shall list below the name of the manufacturer and the name of the supplier it intends to use, and upon which its Bid was based, for each item listed below. After the opening of Bids, no changes or substitutions will be allowed without the written approval of the Owner.

Item Manufacturer Supplier

STATE OF )

: ss

COUNTY OF )

, being first duly sworn on oath, deposes and says that the foregoing answers to questions, and all statements and information contained herein, are true and complete.

Printed Name

Printed Title

SUBSCRIBED AND SWORN to before me this ____ day of _______________, 20___.

Notary Public Residing at:

My Commission Expires: