CONSTRUCTOR PREQUALIFICATION DOCUMENTS

FOR

1200 WEST TRUNK LINE REHABILITATION

1300 SOUTH – STATE STREET TO 700 WEST

SALT LAKE CITY PROJECT NO.: 525003129

LOCATION

1300 SOUTH from STATE STREET to 700 WEST

August 2026

OWNER

Salt Lake City Corporation Department of Public Utilities

1530 S. West Temple Salt Lake City, Utah 84115

SALT LAKE CITY DEPARTMENT OF PUBLIC UTILITIES

APPLICATION FOR BIDDER PREQUALIFICATION

1200 W TRUNK LINE REHABILITATION PROJECT – 1300 SOUTH

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Page 1 Invitation Notice

NOTICE INVITING CURED-IN-PLACE PIPE (CIPP) CONTRACTORS TO PREQUALIFIY TO BID

FOR 1200 WEST TRUNK LINE REHABILITATION – 1300 SOUTH - STATE STREET TO 700 WEST

INVITATION AND INSTRUCTIONS

Notice is hereby given that the Salt Lake City Department of Public Utilities (SLCDPU) has determined that Contractors performing water-cured Cured-in-Place Pipe (CIPP) rehabilitation work for the 1200 West Trunk Line Rehabilitation – 1300 South – State Street to 700 West, must be prequalified prior to procurement of this project. It is mandatory that all CIPP Contractors submit a prequalification package including all materials requested herein and be approved by SLCDPU on the final Qualified Contractors List. Submissions that do not include a prequalified CIPP Contractor complying with the requirements herein will not be accepted.

TENTATIVE PROJECT SCHEDULE

The anticipated project schedule* is summarized as follows:

Date Milestone August 12, 2026 Prequalification documents available September 9, 2026 Prequalification Applications due October 7, 2026 Complete prequalification evaluation and inform applicants of status December 2026 Distribute Bid Documents to prequalified contractors February 2027 Open bids April 2027 Issue Notice of Award July 2028 Substantial completion of construction

The following is a preliminary schedule of critical project milestone dates for the Contractor’s use in evaluating the project.

Activity Construction Timing 1200 W Trunk Line Rehabilitation - 1300 SOUTH – State Street to 700 West 2027/2028*

*This schedule is preliminary and is subject to change.

DESCRIPTION OF WORK

Work under this Rehabilitation Project will take place within a portion of the City’s 1200 W sewer trunk line located along 1300 S, from State Street to 700 West.

The Work generally includes, but is not limited to, the following:

• Water-cured CIPP Rehabilitation of approximately 6,386 LF of 48-inch, 54-inch, and 60-inch diameter RCP trunk line.

• Furnishing, installation and uninterrupted maintenance/oversight of a flow control bypass pumping system of the trunk line, including odor control, tributary and sewer service lateral connections.

• Groundwater management as required for CIPP and manhole rehabilitation, including any treatment, handling and disposal in accordance with applicable permits and regulations.

• Permitting with Salt Lake City Right of Way and Traffic Control, UDOT, UPRR, and UTA.

Page 2 Invitation Notice

• Rehabilitation of 16 manholes with an epoxy coating system.

• Cleaning, video inspection of the existing trunk line, location of existing active laterals and completion of all necessary spot repairs for CIPP rehabilitation.

• Reconnection of all active laterals and disconnection of inactive laterals to the rehabilitated trunk line.

• Completion of post construction testing and video inspection of the rehabilitated trunk line and manholes.

• Coordinating with other agencies and performing public relations and outreach activities during construction.

The contractor prequalification is for the installation of the Cured-in-Place Pipe (CIPP) within an existing Reinforced Concrete Pipe (RCP) sewer trunk line. Portions of the work, as described above, may be completed by subcontractors under the supervision of the CIPP contractor and those subcontractors are not included in this Prequalification process. The CIPP contractor, whether as the prime or sub to general contractor, may use subcontractors as needed and will maintain responsibility for the completion of the entire project as the general contractor.

PREQUALIFICATION SUBMITTAL INSTRUCTIONS AND REQUIREMENTS

The statement of interest and qualifications should be prepared and submitted via Utah Public Procurement Place (U3P) website in accordance with the requirements outlined in the Prequalification Documents. For the statement of interest and qualifications to be considered, document submission must be received no later than 2:00 PM on Wednesday, September 9, 2026, through the U3P website.

Instructions for Submission: OFFEROR to compile and submit Statement of Qualification responses into a single PDF file (including cover sheet, cover letter, etc.) using U3P’s project portal website before 2:00 PM on Wednesday, September 9, 2026 (MST). Response documents that are submitted as embedded (zip files), movies, wmp, mp3 files or password protected files, etc., may cause OFFEROR submission to be deemed as “non-responsive” and disqualified from evaluation.

OWNER'S RIGHTS RESERVED:

The OWNER reserves the right to prequalify any or all panel constructors, request additional pre-qualification information, and to modify the schedule and scope of this project.

Page 1 Prequalification Requirements

CONTRACTOR PREQUALIFICATION REQUIREMENTS

GENERAL

Salt Lake City Department of Public Utilities (OWNER) requests for CIPP Contractor Prequalification Statements for the construction of the 1200 West Trunk Line Rehabilitation – 1300 South – State Street to 700 West. This document describes the requirements for prequalification of contractors.

Submittal requirements for prequalification statements and the evaluation criteria are included.

PURPOSE

The purpose of the prequalification process is to select CIPP Contractors deemed to be qualified and capable of completing the SLCDPU 1200 West Trunk Line Rehabilitation – 1300 South – State Street to 700 West Project, hereinafter “Project”, which includes water-cured CIPP rehabilitation of RCP for the portion of the 1200 W trunk line on 1300 S from State Street to 700 West. SLCDPU intends to prequalify a minimum of three (3) Contractors. These Contractors will then be listed as Qualified CIPP Contractors in the bidding documents and will have the right to submit or be included on bids during the bidding period. SLCDPU reserves the right to prequalify more, or fewer contractors based on the submittals received.

Prequalification of a Contractor does not guarantee that work will be awarded to the Contractor.

The sole responsibility for selecting prequalified contractors will be made by SLCDPU and their decision will be final. SLCDPU reserves the right to reject applications that do not meet these requirements.

DESCRIPTION OF WORK

Work under this Rehabilitation Project will take place within a portion of the City’s 1200 W sewer trunk line located along 1300 S, from State Street to 700 West.

The Work generally includes, but is not limited to, the following:

• Water-cured CIPP Rehabilitation of approximately 6,386 LF of 48-inch, 54-inch, and 60-inch diameter RCP trunk line.

• Furnishing, installation and uninterrupted maintenance/oversight of a flow control bypass pumping system of the trunk line, including odor control, tributary and sewer service lateral connections.

• Groundwater management as required for CIPP and manhole rehabilitation, including any treatment, handling and disposal in accordance with applicable permits and regulations.

• Permitting with Salt Lake City Right of Way and Traffic Control, UDOT, UPRR, and UTA.

• Rehabilitation of 16 manholes with an epoxy coating system.

Cleaning, video inspection of the existing trunk line, location of existing active laterals and completion of all necessary spot repairs for CIPP rehabilitation.

• Reconnection of all active laterals and disconnection of inactive laterals to the rehabilitated trunk line.

• Completion of post construction testing and video inspection of the rehabilitated trunk line and manholes.

• Coordinating with other agencies and performing public relations and outreach activities during construction.

Page 2 Prequalification Requirements

The contractor prequalification is for the installation of the Cured-in-Place Pipe (CIPP) within an existing Reinforced Concrete Pipe (RCP) sewer trunk line. Portions of the work, as described above, may be completed by subcontractors under the supervision of the CIPP contractor and those subcontractors are not included in this Prequalification process. The CIPP contractor, whether as the prime or sub to general contractor, may use subcontractors as needed and will maintain responsibility for completion of the entire project as the general contractor.

CONTENT OF STATEMENT OF QUALIFICATIONS

The prequalification 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.

CIPP CONTRACTORS

All rehabilitation work providing CIPP must be performed by Prequalified CIPP Contractors.

Contractors who are prequalified through this solicitation will be named in the Bidding Documents.

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

All CIPP liners must be provided in accordance with ASTM F1216. For the Project, water inversion and curing is required and liners are anticipated to be wet-out on site.

The CIPP Contractor’s experience should demonstrate their ability to perform water inversion and curing, on-site wet out, styrene handling and mitigation, and mitigation of community impacts as part of the prequalification.

EVALUATION OF STATEMENT OF QUALIFICATIONS

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

Three (3) references for projects similar in size and scope. Contractors must score at least 50% on reference score sheet, see Appendix “C”. In addition, contractors must demonstrate that they meet the following criteria on a pass/fail basis to be qualified:

• 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 $15.0 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 48-inch diameter and larger pipe and completed within the last five (5) years).

http://dopl.utah.gov/licensing/contracting.html

Page 3 Prequalification Requirements

• Contractor’s project superintendent shall have at least five (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 five (5) years on CIPP product greater than 48-inchs in diameter.

• Contractor’s project manager shall have at least five (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 five (5) years on CIPP product greater than 48-inches in diameter.

In the work approach submittal, contractor must demonstrate proactive experience performing all contract obligations including but not limited to taking field measurements, cleaning, CCTV inspection, locating, verifying, and confirming laterals that are both active and inactive prior to lining, bypass, traffic control, sampling and testing, liner installation, and reconnecting services.

Contractors shall respond to all questions contained in the Request for Qualifications Questionnaire and provide additional supporting information as requested.

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 Prequalification proposal expressly agrees that any information concerning the Contractor in possession of said entities and references will be made available to the Owner.

The following two (2) paragraphs must be included in the response submission as well as the Contractors’ written acknowledgement that they have read the paragraphs and agree to comply with the terms:

1) 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.

Page 4 Prequalification Requirements

2) CONFIDENTIALITY

All responses, inquiries, and correspondence relating to this Prequalification 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 proposal 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 proposals 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 Prequalification 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 proposal, 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 their 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 the Offeror's Prequalification 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). 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 close of the prequalification 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 prequalification 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 prequalification materials and any findings and determinations made thereafter. All materials and information submitted during the prequalification process will become the property of SLCDPU and will not be returned to the Applicant.

Page 5 Prequalification Requirements

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 prequalification 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 U3P. 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 may 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.

NOTIFICATION OF PREQUALIFIED CONTRACTORS

All Contractors submitting prequalification statements will be notified in writing if they did or did not prequalify. Only Contractors which are prequalified will be invited to bid on the project. The City’s decision is final.

Page 1 Prequalification Questionnaire

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 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. List the five (5) projects most similar in scope to the Owner's Project completed by your company. At least two of the five projects should be led by the proposed superintendent.

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

9. List Projects for which CIPP Liners have been successfully installed utilizing water inversion and curing. Contractor total experience within last 5 years shall total at least 100,000 LF of 48-inch and larger pipe. (Use Form B, in Appendix A)

10. Project Superintendent for this Project (Please submit a copy of resume for each. Use Form C, Appendix A to provide further detail, one for each candidate)

11. Project Manager for this Project (Please submit a copy of resume, Use Form D, Appendix A to provide further detail)

12. Public Relations Manager for this Project (Please submit a copy of resume)

Page 2 Prequalification Questionnaire

13. Traffic Control Specialist for this Project (Please submit a copy of resume)

14. Additional Office Support Personnel for this Project:

Name Job Title / Description

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

2025 2022

2024 2021

2023 2020

16. Indicate value of uncompleted CIPP work $

17. Pending Litigations? Yes No

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

18. 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):

Page 3 Prequalification Questionnaire

19. 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.

i. List experience in the construction of projects requiring Public Outreach Program or describe Public Outreach programs/measures incorporated in construction, with emphasis on proposed programs for this project

Page 4 Prequalification Questionnaire

20. Provide work approach in accordance with the following:

The Applicant shall describe their approach to scheduling 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 lateral services, mitigate impacts to area communities and traffic in the roadways, 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 where directed by the construction manager.

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 connection in order 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

Page 5 Prequalification Questionnaire

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

a. Copy of actual detailed schedule from one of the projects listed in Question 8.

b. Copy of your quality control program, and

c. Copy of your safety program.

d. Statement that you will meet the insurance requirements of Salt Lake City.

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 or the Superintendent/Project Manager Candidate(s), 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 or

Superintendent or Project Manager 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, and 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 sheets of paper.

Original Contract Value:

Final Contract Value:

Describe major Change Orders and reason for change.

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 - INSTALLATION EXPERIENCE (Page 1 of 2)

List Projects for which CIPP Liners (water or steam cured) have been successfully installed. Provided additional sheets as necessary to demonstrate total required footage is met.

PROJECT NAME: DATE COMPLETED:

OWNER NAME : OWNER ADDRESS:

CONTACT PERSON: CONTACT PHONE NO:

DIAMETER (INCH) INSTALLED: TOTAL LENGTH INSTALLED (L.F.):

OWNER NAME: OWNER ADDRESS:

Total Length Installed (listed on this Sheet) ___________________ ft.

Total Length Installed (Application) __________________ ft.

Page A-4 Appendix A, Forms

FORM B - INSTALLATION EXPERIENCE (Page 2 of 2)

OWNER NAME : OWNER ADDRESS:

Total Length Installed (listed on this Sheet) ___________________ ft.

Total Length Installed (Application) __________________ ft.

Page A-5 Appendix A, Forms

FORM C: SUPERINTENDENT CANDIDATES

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 successfully supervised the installation of 10,000 feet of installed product within the last five (5) years on CIPP product in similar diameters (48-inch and greater).

b. Has successfully supervised at least two projects for the current company of employment.

c. Has at least five (5) years of experience as a CIPP Rehabilitation superintendent.

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

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.

Page A-6 Appendix A, Forms

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 Name

Superintendent Signature

3. References Submit two (2) Form A’s, one for each of the projects identified for item 1b above. Submit one (1) Form B for the projects identified for item 1a above.

Page A-7 Appendix A, Forms

FORM D: PROJECT MANAGER CANDIDATES

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

Project Manager (Print Name & Title):

Contact Information (Telephone, Fax, Email):

Submittal Date:

Signature (sign and print):

1. Project Manager Experience

a. Has successful experience with the installation of 10,000 feet of installed product within the last five (5) years on CIPP product in similar diameters (48-inch and greater).

b. Has been project manager on at least three (3) CIPP projects of similar scope within the last five (5) years.

c. Has at least five (5) years of CIPP Rehabilitation experience.

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

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 Manager 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 Manager has supervised or directed construction in the last five (5) years.

Page A-8 Appendix A, Forms

I (we) hereby certify that __________________________ (Company Name) and __________________________(Project Manager Name) satisfy the Project Manager 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 (Officer of the Company) Name

Applicant Signature

Project Manager Name

Project Manager Signature

3. References Submit three (3) Form A’s, one for each of the projects identified for item 1b above.

Page B-1 Appendix B, Application Certification Form

APPENDIX B – APPLICATION CERTIFICATION FORM

Applicant Certification – 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 Prequalification (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 prequalification.

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 Prequalification.

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

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 Prequalification and the following Addenda, receipt of which is hereby acknowledged (list Addenda by Addendum Number and Date):

Addendum No. Date

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

Page B-2 Appendix B, Application Certification Form

Name (print):

_________________________________Title:_______________________________________

Signature:____________________________________ Phone (incl. area code):________________ Date:______________

Subscribed and sworn to before me this day of , Year 202_.

Notary Seal or Original Notary Public Signature Stamp

My commission expires:

Page C-1 Appendix C, Reference Interview Questions

APPENDIX C – REFERENCE INTERVIEW QUESTIONS

The following questions will be used to interview selected contacts from completed project references for Applicants.

The Salt Lake City Department of Public Utilities (City), or its engineer, will conduct the interviews. No action on the Applicant’s part is necessary. These questions are included for information only. Listed references will be contacted by phone or e-mail during the prequalification application review period. The scoring of the responses will be averaged to determine the overall score for each project reference. The highest possible score is 100 points for each project reference.

For questions with a 1-4 rating, scores will be assigned as follows: 1 = Poor 2 = Unsatisfactory 3 = Satisfactory 4 = Good

Contractors Team and Quality of Work (40 points)

1. On a scale of 1–4, with 4 being the best, did the contractor provide adequate supervision, and how would you rate the contractor’s superintendent or project manager’s ability to supervise the project and work cooperatively with the owner and engineer? If willing, please provide the name of the superintendent or project manager.

(Maximum 12 points; rating should be multiplied by 3.)

2. On a scale of 1-4, with 4 being the best, did the contractor provide a consistent team of individuals through the course of the project? A rating of 4 would mean the contractor’s team did not change during the project. A rating of 1 would mean there was an unacceptable amount of change in the contractor’s team. (Maximum 4 points.)

3. On a scale of 1–4, with 4 being the best, how well did the contractor emphasize and manage safety? (Maximum 8 points; rating should be multiplied by 2.)

4. On a scale of 1–4, with 4 being the best, rate the overall quality of work with regard to whether project requirements were met with little or no rework. (Maximum 16 points; rating should be multiplied by 4.)

Claims and Reporting (16 points)

5. On a scale of 1–4, with 4 being the best, rate the contractor’s ability to provide timely reports and other paperwork, including submittals, change orders, and schedule updates. (Maximum 4 points.)

6. On a scale of 1–4, with 4 being the best, rate whether there were an unusually high number of claims or unusual difficulty resolving claims. A rating of 5 means there were virtually no contractor-initiated claims; a rating of 1 means there were an unacceptable number of claims or significant difficulty resolving claims. (Maximum 12 points; rating should be multiplied by 3.)

Coordination and Cooperation with the Public and Other Agencies (12 points)

7. On a scale of 1–4, with 4 being the best, how did the contractor manage public information and interactions with residents, motorists, impacted businesses, and the public in general during construction? (Maximum 8 points;

rating should be multiplied by 2.)

8. On a scale of 1–4, with 4 being the best, how did the contractor coordinate with permitting/regulatory agencies and other utilities? (Maximum 4 points.)

Schedule Adherence and Closeout (12 points)

9. Was the project completed on time? If the answer is “No,” on a scale of 1–4, to what extent was the contractor responsible for the delay in completion? A rating of 4 means the contractor was not responsible for the delay. (8 points if the answer is “Yes”; if “No,” rating should be multiplied by 2.)

10. On a scale of 1–4, with 4 being the best, how would you rate the contractor’s project closeout performance, including punch list completion, final cleanup, and final paperwork? (Maximum 4 points.)

Overall Performance Assessment (No points)

11. On a scale of 1–100, how would you rate this contractor’s overall performance? This question is not scored and will be used as a consistency check against the reference’s responses.