2-RFQSDOC 6000001829.pdf

RFQS 6000001829 Page 1

REQUEST FOR QUALIFICATION STATEMENTS

(“RFQS”)

FOR

MASTER AGREEMENTS FOR

PRIORITY MARINE REHABILITATION ON A

WORK ORDER BASIS – NEW YORK AND NEW

JERSEY MARINE TERMINALS

NOVEMBER 20, 2023

RFQS #6000001829

The Port Authority of New York & New Jersey (“Port Authority” or “Authority”) seeks to award multiple Master Agreements (also referred to as “Contracts”) for Priority Marine Rehabilitation on a Work Order basis for New York and New

RESPONSES DUE NO LATER THAN:

2:00 PM ET ON DECEMBER 21, 2023

https://www.panynj.gov/

RFQS 6000001829 Page 2

Jersey Marine Terminals (“Project”). The Authority anticipates awarding Master Agreements to multiple firms, who will compete for Work Orders. Only firms that have an executed Master Agreement will receive requests for bids for future Work Orders. Request for bids on future Work Orders may include, but not be limited to:

the specific scope of work to be performed under the Work Order, any specific terms and conditions, notice of the application of any requirements as per any funding, bid bonds, if required, and a bid form. Unless otherwise stated in the request for bid, award of each Work Order shall be made to the responsible firm submitting the lowest responsive bid pursuant to the Authority’s standard bidding process.

Firms that execute a Master Agreement will have the opportunity to compete for Work Orders, but execution of a Master Agreement does not guarantee that a firm will be awarded a Work Order.

As part of the Port Authority’s commitment to providing opportunities to local businesses and individuals who historically have been underrepresented. The Port Authority seeks to obtain additional submissions under this RFQS from Small, Minority, Women and Local Business Enterprises.

In addition, the Port Authority expects that each Respondent’s proposed team and workforce reflect the full diversity of the community that the Port Authority serves.

I. BACKGROUND

For background with respect to The Port Authority of New York and New Jersey (the “Authority” or “Port Authority”), see www.panynj.gov. Additionally, an electronic version of the Authority’s most recent Annual Report is available at http://corpinfo.panynj.gov/pages/annual-reports/.

II. PROJECT DESCRIPTION

The Port Authority is responsible for maintaining approximately 53,000 linear feet of wharves across its New York and New Jersey Marine Terminal facilities. These waterfront assets are some of the most productive stretches of wharf not only in the region, but along the East Coast and United States. They generate over $100 billion in business activity annually, supporting hundreds of thousands of jobs. They are also in need of continuous rehabilitation to sustain their operation.

The Port Authority must be proactive at maintaining its infrastructure in a state-of-good-repair, which is the goal of this Program. The Program enables the Port Authority to proceed expeditiously to identify priority repairs through underwater inspections and promptly engage contractors to complete repairs.

To efficiently facilitate work for this effort, staff anticipated the need to perform construction services work that is not explicitly part of any construction contract. To that end, the Port Authority intends to execute Master http://www.panynj.gov/ http://corpinfo.panynj.gov/pages/annual-reports/

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Agreements (also referred to as “Contracts”) with multiple firms that prequalify under this RFQS. Work Orders issued under these Master Agreements may include, but may not necessarily be limited to, the following marine rehabilitation work types:

• Timber pile encasement

• Pile extension

• Split timber pile

• Pile replacement

• Concrete edge beam

• Concrete pile cap

• Prestressed girder

• Concrete diaphragm.

• Concrete upper slab/deck

• Concrete soffit slab/deck

• Concrete seawall.

• Reinforcing bar (splice and replacement)

• Timber deck

• Timber pile cap

• Timber fish plates

• Nonbearing pile/deck connection

• Displaced pile

• Concrete pile encasement

• Steel pile encasement

• Pile wrapping

• Steel bulkhead

• Steel wale

• Tie rods

• Timber bulkhead

• Concrete bulkhead

• Granite bulkhead

• Broken/missing timber pile bracing

• Mooring cleat

• Marine structure work

• Timber pile work

• Structural and concrete work including pile extensions. and shortening

• Pile wrapping

• Excavation at the mudline

• Cleaning of piles

• Chipping of concrete underwater

• Replacement of concrete underwater

• Installation of exterior or interior piles

RFQS 6000001829 Page 4

A. Estimated Value Range for Work Orders

Firms may submit qualifications for one or more of the ranges below, but in every case must demonstrate compliance with requirements below. Firms shall indicate in their submissions which range(s) it is proposing to be qualified for.

Range A is for Local MWBE and SDVOB firms. Range B is open to all firms.

1. Range A – Up to approximately $2,500,000 (Local MWBE/SDVOB

List) *

2. Range B – Greater than $2,500,000

*Only Local firms certified as Minority/Women Business Enterprises (“MWBE”) or Service Disabled Owned Veteran Business (“SDVOB”) collectively referred to as MWBE and SDVOB, by the Port Authority of New York and New Jersey can qualify for Range A.

For the purposes of this RFQS, Local shall mean business entities residing within the Priority Zone localities in the following order of prioritization: as a first priority, the host cities/municipalities of the facilities ("Zone 1"); as a subset of zone 1, priority zone 1A includes all municipalities within a 5-mile radius of the border of the facilities (Zone 1A); as a second priority, businesses residing within the counties where the facilities are located (Zone 2); as a third priority, businesses located within the counties contiguous to the counties in zone 2 (Zone 3); as a fourth priority, within the Port District in the State of New Jersey or New York (Zone 4);

as a fifth priority, anywhere else outside of the Port District. Hereinafter "Priority Zones" shall mean from these localities and in this order of prioritization, and "Local" or "Local Zones" shall mean from the first and second Priority Zones and, inclusive in that, Zone 1A.

Hereinafter "Priority Zones" shall mean from these localities and in this order of prioritization, and "Local" or "Local Zones" shall mean from the first and second Priority Zones and, inclusive in that, Zone 1A.

The Authority estimates that the total amount of Work to be awarded under all Work Orders is expected to be up to approximately $100,000,000.

The Authority expects to issue multiple Master Agreements per range to qualified firms in each range based on the Evaluation Criteria set forth in Section III.B.

B. Contract Schedule

The anticipated duration for each Master Agreement is six (6) years, with two (2), one (1) year extension options.

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C. Security

The Authority operates facilities and systems at which terrorism or other criminal acts may have a significant impact on life safety and key infrastructures. The Authority reserves the right to impose multiple layers of security requirements on the performance of the Work issued under the Master Agreements, including on the Contractor, subcontractors and materialmen, depending upon the level of security required, as determined by the Authority.

The Authority has some facilities that are required to comply with the Maritime Transportation Security Act of 2002 (MTSA). These facilities have additional federally mandated security requirements. The Contractor shall comply and shall ensure that his subcontractors and materialmen comply.

D. Schedule & Reporting

In order to ensure compliance with construction schedule(s), upon award of each request for bids contractors may be required to submit a detailed milestone schedule with daily schedules for each section of work.

During construction, the Contractor shall submit timely schedule updates and weekly look-ahead construction updates and demonstrate concurrence with the baseline schedule and milestones.

E. Inquiries/Point of Contact

Please direct all inquiries regarding this Master Agreement RFQS to the individual(s) named below, only. This individual is your sole point of contact throughout the entire Master Agreement RFQS process until award. Neither this individual nor any other employee of the Authority is authorized to interpret the Master Agreement RFQS or give additional information as to its requirements.

Such interpretation or additional information will be given only by written addendum to this Master Agreement RFQS.

Name: Megan Lancelot-Zielinski

Principal Contract Specialist Procurement Department Port Authority of NY & NJ

Email: mlancelotzielinski@panynj.gov mailto:meconnors@panynj.gov

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III. SELECTION PROCESS

A. Qualification Requirements

To be considered for the award of a Master Agreement in any range, the proposing firm must provide documentary evidence, to the satisfaction of the Authority, that the firm meets the following minimum requirements for each range that the firm is requesting to be qualified. Company brochures shall not be submitted for the purpose of demonstrating experience and technical expertise. Submittals must be tailored to the specific requirements of this Master Agreement RFQS. If a firm cannot demonstrate that it meets all the below mentioned qualifications, then that firm may form a joint venture with others and request that the joint venture be considered as a proposing firm, as set forth in Section III (C) of this section below.

Range A – Qualification Requirements

1. Minimum Experience of the Firm:

As a prime or general contractor, with at least two (2) years of marine construction experience and has successfully completed or substantially completed at least one (1) or more projects that had a total marine construction cost of at least $1,000,000 concurrently;

The firm may also qualify if, during the time period stated above, it has (or persons or entities owning and controlling it have) owned and controlled another firm that has satisfactorily and successfully performed and completed services of similar scope to those anticipated to be required in Work Orders issued under these Master Agreements.

2. Minimum Qualifications of Key Staff (Project Manager, Superintendent or Site Safety Manager(s))

The firm’s Project Manager, Superintendent, Site Safety Manager(s) must each have a minimum of two (2) years marine construction experience on at least one (1) contract of similar type, with a total construction costs of at least $1,000,000.

Range B - Qualification Requirements

1. Minimum Experience of the Firm:

a) As a prime or general contractor, with at least five (5) years of marine construction experience on projects of similar type, and has successfully completed or substantially completed at least two (2) marine construction project of similar type, with a total construction cost of at least $5 million; and

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b) The firm may also qualify if, during the time period stated above, it has (or persons or entities owning and controlling it have) owned and controlled another firm that has satisfactorily and successfully performed and completed services of similar scope to those anticipated to be required in Work Orders issued under these Master Agreements.

2. Minimum Qualifications of Key Staff (Project Manager, Superintendent, and Site Safety Manager(s))

The firm’s Project Manager, Superintendent, Site Safety Manager(s) must each have a minimum of five (5) years marine construction experience on at least two (2) contracts of similar types, each with a total construction cost of at least $5 million.

B. Evaluation Criteria

Firms (including joint ventures) that are found to satisfy the requirements of Section III (A) (above) will then be evaluated by an Evaluation Committee, which will then determine which firm(s) (or joint venture(s)) may proceed with the award of a Master Agreement. A Selection Committee will be composed of Port Authority personnel.

The Selection Committee will base its evaluation on Pass/Fail basis considering the requirements in Section III (A) above.

Scope specific requirements - Individual Work Orders may include additional requirements specific to the scope of work.

C. Evaluation Criteria

The Authority will entertain requests for prequalification from a joint venture.

If a joint venture is pre-qualified to submit bids, or if two or more entities separately pre-qualified to bid elect to submit a bid as a joint venture, all participants in the joint venture shall be bound jointly and severally and each participant shall execute the bid. If the Respondent cannot demonstrate that it meets all of the required qualifications, then the Respondent may, with others, form a joint venture and request that the joint venture be deemed the Respondent (i.e., members of the joint venture may meet the qualification requirements collectively.) If two or more Respondents elect to submit qualifications as an SBE joint venture under Range A, each entity under the joint venture must be individually SBE certified.

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IV. SUBMISSION INSTRUCTIONS AND CONTENT

The Port Authority has transitioned to an entirely digital submission process for the receipt of proposals in response to RFQs, as detailed below.

A. Your Submission must be uploaded to Bonfire in sufficient time so that the Authority receives it by 2:00 p.m. Eastern Time (ET) on DECEMBER 21 , 2023.

B. The Authority shall accept only those submissions in electronic format for which the submission or modification is completed at the time of the Bid Due Date.

Submissions will be accepted by upload only, at https://panynj.bonfirehub.com/portal/?tab=login and must be uploaded and received by the Authority by 2:00 PM EST on the date indicated in order to be considered. Hand deliveries and mailed deliveries (e.g., UPS, USPS) will not be accepted. The Port Authority may request an original, signed paper submission at any time following the Bid Due Date. If requested, such original, signed paper submission must be identical to the electronic submission. In the event of a discrepancy, the electronic submission shall control.

C. The following items must be submitted for your firm to be considered for qualification on this specific project:

1. Attachments

To expedite the evaluation of this pre-qualification based on information furnished, the Respondent must complete and submit the attached documents.

Responses that fail to adhere to this requirement may be excluded from consideration. The following attachments are incorporated herein and must be submitted:

A. Contractor's Qualification Statement B. Attachment I – Agreement on Terms of Discussion

C. Business Qualification Questionnaire Package – Accessible by clicking on the following link: https://www.panynj.gov/content/dam/port-authority/pdfs/PANYNJ-BQQ-form.pdf

D. Please follow submittal instructions in the BQQ package on the website.

These should not be included with your RFQS.

2. Firm Qualifications and Experience Respondent shall submit, with the RFQS response, written verifiable supporting documentation that it has satisfied or exceeded the minimum requirements set forth in the “Minimum Experience of the Firm” for the applicable range(s) in Section III (A) above.

https://panynj.bonfirehub.com/portal/?tab=login https://www.panynj.gov/content/dam/port-authority/pdfs/PANYNJ-BQQ-form.pdf

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3. Staff Qualifications and Experience

Respondent shall submit with the RFQS response, resume(s) or supporting documentation demonstrating that Respondent meets or exceeds the minimum requirements set forth in in the “Minimum Qualifications of Key Staff (Project Manager, Superintendent, and Site Safety Manager(s))” for the applicable range(s) in Section III (A) above.

4. Safety Record

As part of your submission, please provide, at a minimum, your firm’s safety record of for the past three (3) years and the documentation below, if applicable. In addition, please include the safety record for all your firm’s affiliates. Provide the following data regarding your firm’s safety record:

Experience Modification Rate – Provide your firm’s Insurance Experience Modification Rate (EMR) for the last three (3) years and supply a letter from your firm’s insurance broker or carrier indicating the EMR of your firm for the last three (3) years. If the rate exceeds 1.2, a written explanation shall be provided.

5. Subcontracting and M/WBE Participation History

As part of your submission, please provide examples of how your firm has included M/WBE and SDVOB subcontractors on your projects. Please include specific details about the contractors, responsibilities given to the subcontractors, and any ways in which your firm helped to ensure the mutual success of the both the subcontractor, the firm, and the project. The M/WBE and SDVOB requirements for the Program are explained further below.

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6. Financial Responsibility

A. Bond Requirements

Bid, Performance and Payment bonds may be required for each Work Order issued. Include with your response a letter from your surety (a letter from a broker is unacceptable) confirming your firm’s single limit and aggregate bonding capacity. The surety company name must appear on the current list of the Treasury Department of the United States as acceptable as a surety upon federal contracts.

Bid bonds may be required for individual Work Orders in ranges B.

Individual Work Order requests will state whether Bid Bonds are required.

Performance and Payment bonds or other acceptable forms of security may be required, based on the financial capacity of the selected firm(s).

B. Financial Information

1. Fill in below the name and address of your firm’s primary banking representative handling your firm’s account.

Banking Institution:

Address:

Bank Representative:

Telephone Number:

2. Fill in below your firm’s Federal Employer Identification Number

(i.e., the number assigned to firms by the federal government for tax purposes); your firm’s Dun and Bradstreet number, if any; the name of any other credit service to which your firm has furnished information and the number, if any, assigned by such service to your firm’s account.

Federal Employer Identification No:

Dun & Bradstreet No.:

Other Credit Service:

Account No.:

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B. Financial Statements

Financial capacity may be requested and reviewed prior to any firm receiving an award of any Work Order(s). Firms may be asked to provide the following with future Work Order bids:

1. Certified financial statements, including applicable notes, reflecting your firm’s assets, liabilities, net worth, revenues, expenses, profit or loss and cash flow for the three (3) most recent calendar years and your most recent fiscal year.

2. Where such certified financial statements are not available, then either reviewed or compiled statements from an independent accountant setting forth the information described in the first bullet above.

3. Where neither certified financial statements nor financial statements from an independent accountant are available, then financial statements containing the information described in (i) above, prepared directly you. However, such financial statements must be accompanied by a signed copy of your firm’s most recent federal income tax return and a statement in writing, signed by a duly authorized representative of your firm, that such statements accurately reflect your firm’s current financial condition.

4. Where statements submitted pursuant to (i) and (ii) above show your firm’s position as of a date more than forty-five (45) days prior to the date on which bids are due, also submit a statement in writing signed by your firm’s duly authorized representative, that your firm’s present financial condition is at least as good as that shown on the statements submitted.

5. A statement of work which your firm has on hand, including any work on which a bid has been submitted, containing a description of the work, the dollar value, the location by city and state, the current percentage of completion and the expected date for completion.

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V. REQUIREMENTS

1. SUBCONTRACTOR PARTICIPATION

Each Work Order will require that an MWBE/SDVOB plan be approved by the Office of Diversity, Equity and Inclusion (DE&I) prior to award of each Work Order. MWBE/SDVOB plans shall be developed in consultation with DE&I and shall include a list of firms for MWBE/SDVOB subcontracting opportunities.

MWBE/SDVOB plans shall include a diverse pool of firms across all underrepresented groups. Failure to meet approved subcontracting goals may result in liquidated damages, as may be set forth in each Work Order.

Each contractor that is issued a Master Work Order Agreement shall be required to make a good-faith effort to maximize the use of Local MWBEs/SDVOBs on each Work Order.

2. REQUIRED LICENSES/CERTIFICATIONS

The Contractor and/or proposed sub-contractors must have all required certifications and/or licenses to perform the work in accordance with applicable codes, rules and regulations.

3. BACKGROUND QUALIFICATION QUESTIONNAIRE PACKAGE

This RFQS requires Respondents to complete a BQQ and submit it directly to the Office of the Inspector General In addition, Respondents will also be required to ensure that their respective subcontractors, subconsultants and vendors, of all tiers, also complete BQPs.

The BQQ document may be downloaded at:

https://www.panynj.gov/content/dam/port-authority/pdfs/PANYNJ-BQQ-form.pdf

4. M/WBE SUBCONTRACTING PROVISIONS

The Port Authority has a long-standing practice of making its business opportunities available to MBEs and WBEs and SDVOBs and has taken affirmative steps to encourage such firms to seek business opportunities with the Port Authority. Firms awarded Work Orders will be required to use good faith efforts to achieve a goal of 20 percent (20%) participation by Authority certified MBEs, ten percent (10%) participation by Authority certified WBEs and three (3%) participation by Authority certified SDVOBs to provide for meaningful participation in the purchasing and subcontracting opportunities associated with this RFQS and any resultant Work Order, including purchase of equipment, supplies and labor services.

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5. CONFLICT OF INTEREST

If the Respondent or any employee, agent or subcontractor of the Respondent may have, or may give the appearance of having, a possible conflict of interest, the Respondent shall include in its proposal a statement indicating the nature of the conflict. The Authority reserves the right to disqualify the Respondent if, in the Authority’s sole discretion, any interest disclosed from any source could create, or give the appearance of, a conflict of interest. The Authority's determination regarding any question(s) of conflict of interest shall be final.

6. PERFORMANCE EVALUATION FOR CONSTRUCTION

CONTRACTOR SOURCE SELECTION POLICY

In accordance with the Authority’s “Performance Evaluation for Construction Contractor Source Selection Policy,” which can be found at https://www.panynj.gov/business-opportunities/become-vendor.html, Respondents should be aware that Port Authority will consider any Respondent’s Unsatisfactory or Marginal Performance Evaluation as an important factor in determining whether the Respondent is deemed qualified or recommended for ultimate contract award.

7. VENDOR CODE OF ETHICS

The Port Authority has adopted a Code of Ethics for Port Authority Vendors which can be found at: https://www.panynj.gov/business-opportunities/become-vendor.html

8. NOTIFICATION

Notification as to whether a Respondent has been pre-qualified will be made only by a notice in writing, signed by the Chief Procurement Officer or her designated representative on behalf of the Authority and mailed or delivered to the office designated by the Respondent in its response to this RFQS.

http://www.panynj.gov/business-opportunities/become-vendor.html http://www.panynj.gov/business-opportunities/become-vendor.html https://www.panynj.gov/business-opportunities/become-vendor.html

THE PORT AUTHORITY OF NEW YORK AND NEW JERSEY

CONTRACTOR’S QUALIFICATION STATEMENT

FOR

RFQS# 6000001829

MASTER AGREEMENTS FOR

PRIORITY MARINE REHABILITATION ON A WORK ORDER BASIS – NEW YORK AND NEW JERSEY MARINE TERMINALS

A. Contractor’s General Business Information Statement submitted by:

Name of Firm:

Name of Principal:

Business Address:

Telephone No: Fax No:

E-mail:

Name & Telephone No. of contact person if not individual mentioned above:

Check how bid will be submitted: _ _Single Entity _ _ Joint Venture

If a Joint Venture, each participant in such Joint Venture must submit all the in-formation that is required for a single entity.

Indicate the type of work generally performed with your own work force.

Indicate which part of the work indicated in Paragraph III PROJECT DESCRIPTION of the attached Request for Qualification Statements (“RFQS”) you plan on performing with your own forces and what work you plan on sub-contracting to another firm.

Work to be performed with own forces:

Work to be performed by sub-contractors:

B. Relevant Experience and Past Performance:

On Schedule A, below, list construction contracts completed by your firm which document your firm’s meeting of the requirements indicated in Section III of this RFQS. If a joint venture, list each joint venture partner’s projects separately.

Indicate if the contract was performed by your firm’s own forces or by a sub-contractor. Submit each project on one page in the following format.

SCHEDULE A- CONTRACTS COMPLETED:

Project Name, Location and Description

Name of Owner(s), Address, Tel No.

& Email

Design Engineer*

Date Completed

Contract Amount**

Percentage of Work Completed by Own Forces

*Include Name, Address and Phone No. of Reference Contact **Indicate amount of Firm’s contract and if work was done as prime contractor

On Schedule B, below, list the name and qualifications meeting of the requirements indicated in Section III of this RFQS of the individuals who will function as the Project Manager, Superintendent, and Site Safety Manager(s) as well as those of any other key staff to be assigned to the Contract along with the anticipated function and relevant experience of each person in the format below.

Attach resumes.

SCHEDULE B - KEY STAFF:

Name Position Date Started with

Organization

Date Started in Construction

Field

Prior Positions and Experience in Construction

On Schedule C, below, list projects currently under construction (work on hand) by your firm. If a joint venture, list each joint venture partner’s projects separately. Please follow format below, one page per contract.

SCHEDULE C - CURRENT WORK ON HAND:

FIRM NAME:

Project Name, Location and Description Name of Owner(s)

Name Address, Tel No. & Email

Design Engineer Contract Amount

Scheduled Completion Date and Percentage Complete

On Schedule D, below, list Bids submitted by your firm. If a joint venture, list each joint venture partner’s projects separately. Please follow format below, one page per contract.

SCHEDULE D: CURRENT BIDS SUBMITTED:

FIRM NAME:

Project Name, Location and Description

Name of Owner(s) Address, Tel No.

& Email

Design Engineer*

Bid Amount

Low Bidder (Y/N)

Anticipated Award Date/Contract Duration (If Applicable)

*Include Name, Address, Phone No. and Email of Reference Contract

On Schedule E below, provide information about past Performance Evaluations on Port Authority or PATH contracts. Submit a copy of this Schedule E completed for each entity that comprises the joint venture. Attach additional pages as necessary.

SCHEDULE E: CONTRACTOR PAST PERFORMANCE

Firm Name:

Indicate below whether your firm’s performance on a past Port Authority or PATH contract(s) has been rated less than satisfactory (e.g., received a Performance Evaluation rating of “Marginal” or “Unsatisfactory”) within three years prior to submission of this

RFQS.

No.

Yes. Further information (including rating(s) and contract(s)):

Indicate below whether an affiliate, subsidiary or parent company of your firm has been rated less than satisfactory (e.g., received a Performance Evaluation rating of “Marginal” or “Unsatisfactory”) within three years prior to submission of this RFQS on a past Port Authority or PATH contract(s).

Yes. Further information (including rating(s) and contract(s)):

Indicate below whether an entity in which your firm was a substantial component or over which your firm exerted substantial control has been rated less than satisfactory (e g., received a Performance Evaluation rating of “Marginal” or “Unsatisfactory”) within three years prior to submission of this RFQS on a past Port Authority or PATH contract(s).

Yes. Further information (including entity (ies), rating(s) and contract(s)):

Indicate below whether an entity which has some of the same key senior personnel as your firm has been rated less than satisfactory (e.g., received a Performance Evaluation rating of “Marginal” or “Unsatisfactory”) within three years prior to submission of this RFQS) on a past Port Authority or PATH contract(s).

Yes. Further information (including entity(ies), rating(s) and contract(s)):

In accordance with the Authority’s “Performance Evaluation for Construction Contractor Source Selection” policy, which can be found at https://www.panynj.gov/business-opportunities/become-vendor.html, the Port Authority will not qualify, or recommend for award, any prospective bidder or bidder that has received one or more Marginal or Unsatisfactory ratings unless, in the sole discretion of the Chief Engineer or his or her designee with information from the evaluation committee, the prospective bidder or bidder has provided substantive information showing that the root cause of the adverse performance has been identified and definitively corrected or the circumstances giving rise to the Performance Evaluations have changed and will not reoccur. The determination of the Chief Engineer or his or her designee will be conclusive.

Does your firm have the necessary certification(s) and/or license(s) required under the RFQS?

Yes No Not Applicable

If Yes - Submit documentation of required certification(s) and/or license(s) If No - indicate how you plan on meeting this requirement:

Has your firm ever failed to complete any construction contract awarded to it?

Yes No

If yes, describe the circumstances on a separate piece of paper.

In the last five years, has your firm ever failed to substantially complete a contract as per the Contract requirements?

If yes, describe the circumstances on a separate piece of paper.

Identify prior contracts that contained stated goals for M/WBE participation and how such goals were met or exceeded:

Contract Stated Goals Actual %

Obtained Comments

C. Financial Information:

Can your firm provide a Performance and Payment Bond for the full amount required?

Indicate approximate total bonding capacity:

Indicate name of your proposed surety company and name, address and phone number of agent:

Name: Address:

Telephone No.

Submit letter from your surety documenting your ability to submit the required

Bond.

E. Certification

I hereby certify that the information submitted herewith, including attachments, is true to the best of my knowledge and belief.

(Type or print business name of Firm)

By:

(Signature of Officer of Firm)

(Print name of Officer of Firm)

Dated:

(Type or print title of officer of Firm)

Sworn to before me this day of 20

Notary Public