2-Exhibit A - West Emergency Department RFP 950-04-26-002.docx
DOCX document 27 KB Posted
- Attached to
- General Contractor West Emergency Department
- Solicitation number
- 950-04-26-002
- Issued by
- El Paso County, El Paso City, Texas
About this file
This document is a Required Forms and Certifications exhibit for a Construction Manager at Risk Request for Proposals issued by the University Medical Center of El Paso (UMC El Paso), operating under the El Paso County Hospital District in Texas. The RFP (950-04-26-002) seeks a Construction Manager at Risk to provide preconstruction services for the West Emergency Department project, which includes cost estimating, constructability review, phasing analysis, procurement planning, and development of a Guaranteed Maximum Price. The project encompasses construction of a new approximately 10,000 square foot Emergency Department with treatment, triage, and urgent care functions, along with completion of a temporary gravel parking area into permanent patient parking on the west side of El Paso. The solicitation is part of UMC's bond-funded capital program, with the intent to engage the selected firm early in the design phase and potentially establish the basis for a subsequent construction phase agreement, though no commitment to award construction services is made through this solicitation.
Exhibit A establishes the submission requirements and certifications necessary for proposal consideration, including completion of a submission checklist covering proposal forms, exhibits, firm qualifications, project team information, preliminary schedules, references, and applicable certifications such as addenda acknowledgement, non-collusion affidavits, conflict of interest disclosures, and debarment/suspension certifications. Proposers must certify that all submitted information is true and correct and that all required forms are complete as applicable to the procurement. The RFP notes that construction activities will impact occupied clinic environments, requiring detailed advance coordination with UMC representatives regarding phasing, infection prevention and control measures, and management of crews and service vehicles.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-Exhibit C CMAR Fee Proposal Form and Pricing Components.docx | DOCX document | |
| 1-Exhibit B UMC West ED Proposal Submission Form.docx | DOCX document | |
| 4-EXHIBIT E West ED Site Constraints.docx | DOCX document | |
| 3-950-04-26-002 General Contractor West Emergency Department.docx | DOCX document | |
| 6-Exhibit D Prevailing Wage.docx | DOCX document |
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Text version
EXHIBIT A
REQUIRED FORMS AND CERTIFICATIONS
RFP Title: UMC El Paso County Hospital District – West Emergency Department RFP Number: 950-04-26-002 Proposer shall complete this attachment and include all required forms and certifications identified below, as applicable to this procurement and as included in the RFP package or issued by addendum.
1. Submission Checklist Check each item included with proposal submission.
Proposal Forms and Submittals ☐ Exhibit A – Required Forms and Certifications ☐ Exhibit B – Proposal Submission Form / Acknowledgement ☐ Exhibit C - CMAR Fee Proposal Form and Pricing Components ☐ Exhibit D – Prevailing Wage ☐ Exhibit E – West ED Site Constraints ☐ Cover Letter ☐ Firm Qualifications and Relevant Project Experience ☐ Proposed Project Team and Key Personnel ☐ Project Understanding and Approach ☐ Preliminary Schedule or Schedule Narrative ☐ References ☐ Exceptions and Clarifications (if any)
Required Certifications / Forms (if applicable) ☐ Addenda Acknowledgement completed ☐ Non Collusion Affidavit (if required) ☐ Conflict of Interest Disclosure (if required) ☐ Debarment / Suspension Certification (if required) ☐ W-9 or vendor registration form (if required at proposal stage) ☐ Other: __________________________________________ ☐ Other: __________________________________________
2. Addenda Acknowledgement (if not completed in Attachment A) Proposer acknowledges receipt of the following addenda (if any):
- Addendum No. _____ dated ______________
- Addendum No. _____ dated ______________
- Addendum No. _____ dated ______________
- Addendum No. _____ dated ______________ (If no addenda were issued, write None.)
3. Proposer Certification By signing below, Proposer certifies that the information submitted with this proposal is true and correct to the best of Proposer's knowledge and that all required forms included in this Attachment C are complete, if applicable.
Proposer Legal Name: ____________________________________________________________ Authorized Representative Name (print): __________________________________________ Title: __________________________________________________________________________ Signature: ______________________________________________________________________ Date: ___________________________________________________________________________
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