11-Pre-Award Information (by request).pdf

Madison County Transit

Project Manager

This information is required upon MCT’s request as a matter of responsibility after the due date for bids but prior to contract award.

Name:

Qualifications, experience, past projects, and number of years as a project manager

Project Implementation Schedule

PRE-AWARD INFORMATION

This information/form only required from the bidder being considered for award.

List of Subcontractors

This information is required upon MCT’s request as a matter of responsibility after the due date for bids but prior to contract award.

Full name of subcontractor, address, city, state, ZIP, phone #

Age of Firm

DBE,

WBE,

or

SBE

Gross receipts of firm

NAICS Codes and Work Tasks to be

Assigned

Total estimated value of work Sample subcontractor One Unknown Ave.

MCT Village, IL 0000 123-456-7890

22 years DBE ___ under $500,000 ___ $500,000 to $1 mil _x_ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

238140 - masonry work $ xxxx.xx

1.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

2.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

3.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

4.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

5.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

6.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

7.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

8.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

9.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

10.

___ under $500,000 ___ $500,000 to $1 mil ___ $1 mil to $2 mil ___ $2 mil to $5 mil ___ above $5 mil

DBE = Disadvantaged Business Enterprise WBE = Woman Business Enterprise SBE = Small Business Enterprise

References This information is required upon MCT’s request as a matter of responsibility after the due date for bids but prior to contract award.

Provide project descriptions, contact names and telephone numbers of similar construction projects completed by your company during the preceding five (5) years. Use additional sheets as required. MCT may randomly select and contact supplied references. Reference research may include but not be limited to the following areas of interest: Overall quality of product/services; adherence to specifications; and overall satisfaction of corrective action concerning warranty/defects.

____ Place “x” here if the Bidder has performed services for the Owner within the last five years;

references are not required if this box is checked.

Reference Agency Name:

Address:

Contact Person:

Telephone: ( ) E-mail:

Project Dates:

Project Budget: $ Project Description

Address:

Contact Person:

Telephone: ( ) E-mail:

Project Dates:

Address:

Contact Person:

Telephone: ( ) E-mail:

Project Dates:

Financial Information

This information is required upon MCT’s request as a matter of responsibility after the due date for bids but prior to contract award.

Provide a statement of the bidder’s financial condition relative to the performance of this project, specifically addressing capacity to finance and maintain cash flow for contract duration. Upon MCT’s request, the bidder shall provide evidence of financial surety that fully establishes the performance and financial capabilities represented in the bidder’s offer. As appropriate for your organizational structure, include the following information for a minimum of the last two (2) fiscal years (or since commencement of operations, if less than two (2) years):

• Audited financial statements including auditor’s opinion and notes to the financial statements,

• Financial statements prepared by an accounting firm including the accountant’s review letter,

• Financial statements compiled by an accounting firm including the accountant’s compilation letter,

• and/or tax returns