2-HUD Form 5369-A - Representations, Certifications and Other Statements of Bidders Downloaded 03.08.2021.pdf

This is a HUD Form 5369-A, Representations, Certifications and Other Statements of Bidders, associated with the Town of Fairfield, Connecticut's Request for Qualifications for consulting engineering services on the McKinley Elementary School Safe Routes to School Project. The form serves as a standardized certification document that bidders must complete and submit as part of their qualification packages. The project involves the preparation of contract plans and documents for sidewalk installation across seven streets totaling approximately 6,700 linear feet to enhance connectivity and safety around McKinley Elementary School. Required deliverables include survey work, permitting assistance, environmental documentation preparation, and potential construction inspection services. Qualification packages must be submitted through the Town's online e-Procurement Portal by 2:00 PM on August 19, 2025, with questions due by 4:30 PM on August 5, 2025, and responses posted by August 12, 2025. Personnel in responsible charge must possess and maintain a valid Connecticut Professional Engineer's License.

The projected construction cost is $3,454,000, with the design fee to be negotiated on a lump sum basis. The Disadvantaged Business Enterprise sub-consultant goal is set at zero percent of the total agreement value. The project is funded through the Federal Carbon Reduction Program administered by the Connecticut Department of Transportation. Bidders must demonstrate experience with federal grant programs such as the Carbon Reduction Program or Transportation Alternatives Program and familiarity with Connecticut Department of Transportation processes. Evaluation criteria include specialized experience (30 points), team qualifications and capacity (25 points), past performance (20 points), knowledge of regulatory processes (15 points), and innovative problem-solving (10 points). All submissions are strictly prohibited from including fees, costs, or hourly rates, with any such inclusions resulting in automatic disqualification. Selected firms must comply with municipal, state, and federal affirmative action and equal employment opportunity practices.